Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285644625 Individual Practitioner Female Practitioner

Sherry L Peck , LPC, ATR

Counselor • Port Washington, WI

Professional Overview & Biography Verified Profile Summary

Sherry Peck, LPC, ATR is a registered healthcare professional specializing in Counselor in Port Washington, WI. Practice services are available at 121 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121 W Main St

Port Washington, WI 530741813

Telephone 2622848200
Fax 2622848104
Associated Practice Facility / Clinic
🏢 County Of Ozaukee Facility NPI 1609867001

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Port Washington, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Port Washington, WI (872 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WI 3488

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WI 3488-125

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40976900 (WI)

Practice Associates & Co-Workers

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

38 Associated Practitioners
NPI 1013726678
Renee Keranen , MSW

Social Worker - Clinical

NPI 1023412699

Master of Social Work

Heather Carlson , MA, LPC

Counselor - Professional

NPI 1093247561

Master of Arts, Licensed Professional Counselor

Emma Lewis , LPC-IT

Counselor - Mental Health

NPI 1134055106

LPCIT

Sandra Jacques , LCSW

Social Worker - Clinical

NPI 1154312544

Licensed Clinical Social Worker

NPI 1154832566

CAPSW, SACIT

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2009

Registered at 121 W MAIN ST, PORT WASHINGTON, WI 530741813 (Tel: 2622848200)

📍
Updated Business Mailing Address May 29, 2009

Registered at 121 W MAIN ST, PORT WASHINGTON, WI 530741813 (Tel: 2622848200)

👤
Provider Name / Credentials Updated May 29, 2009

Recorded as SHERRY PECK, LPC, ATR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2009

Counselor (License #3488 in WI)

🟢
Initial NPI Registration & Enumeration August 08, 2006

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: 1285644625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2006
Last Update: May 29, 2009
Sole Proprietor: No

Mailing Address

121 W Main St

Port Washington, WI 530741813

Phone: 2622848200

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.