KELSEY SUSTARSIC LPCC NPI 1891229522

NPI Information

  • NPI: 1891229522
  • Provider Name: KELSEY SUSTARSIC, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: S77W30705 MOSHER DR
    MUKWONAGO, WI
    ZIP 53149
  • Phone: (216) 570-9680

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NPI Details

Kelsey Sustarsic, LPCC is a professional counselor in Mukwonago, WI. Kelsey Sustarsic, LPCC NPI is 1891229522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

S77W30705 MOSHER DR
MUKWONAGO, WI
ZIP 53149-860
Phone: (216) 570-9680

The NPI 1891229522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 9/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthC.1500367OHIONo
2101YP2500XCounselorProfessionalE.2001669OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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