Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346741345 Individual Practitioner Female Practitioner

Korah Lee Petrasko , LPC

Counselor - Professional • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Korah Petrasko, LPC is a registered healthcare professional specializing in Counselor - Professional in Appleton, WI. Practice services are available at 711 N LYNNDALE DR STE 1A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 N Lynndale Dr Ste 1a

Appleton, WI 549143078

Telephone 9205604525
Associated Practice Facility / Clinic
🏢 Gjb Eeg Services, Sc Facility NPI 1396315321

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
194 Specialists

Practicing in Appleton, WI (4511 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 8166

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License WI 3831-226

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jillian Rotzenberg , LPC

Counselor - Professional

NPI 1336658285

Licensed Professional Counselor

NPI 1639246382

MSE, Licensed Clinical Social Worker, CADC111

Tina Cazzola

Counselor - Addiction (Substance Use Disorder)

NPI 1891171732

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 07, 2025

Registered at 711 N LYNNDALE DR STE 1A, APPLETON, WI 549143078 (Tel: 9205604525)

📍
Updated Practice Location October 27, 2021

Registered at 1095 MIDWAY RD, MENASHA, WI 549521115 (Tel: 9207202300)

📍
Updated Business Mailing Address October 27, 2021

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9207202300)

👤
Provider Name / Credentials Updated October 27, 2021

Recorded as KORAH PETRASKO, LPC

NPI Profile Active February 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2018

Registered at 711 N LYNNDALE DR STE 1A, APPLETON, WI 549143078 (Tel: 9205604525)

📍
Updated Business Mailing Address February 24, 2018

Registered at 905 S KENSINGTON DR, APPLETON, WI 549156113

👤
Provider Name / Credentials Updated February 24, 2018

Recorded as KORAH PETRASKO, LPC-IT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2018

Counselor (License #3831-226 in WI)

🟢
Initial NPI Registration & Enumeration February 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346741345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2018
Last Update: January 07, 2025
Sole Proprietor: No

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9207202300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.