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SERGIO GUERRERO LPC
NPI 1053064097
Counselor - Mental Health in Menasha, WI

Active since January 31, 2022PECOS Enrolled
1205 PROVINCE TER, MENASHA, WI 54952(920) 886-9319 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2026, Jan 31, 2022 (2 updates tracked since 2022).

About Sergio Guerrero Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIO GUERRERO LPC (NPI 1053064097) is an individual mental health provider in Menasha, Wisconsin, licensed in Wisconsin (10670-125) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053064097
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSERGIO GUERREROCredential: LPC
Location Address1205 PROVINCE TERMenasha, WI 54952-7017
Mailing Address1205 Province TerMenasha, WI 54952-7017 · (920) 886-9319
Phone(920) 886-9319
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 31, 2022
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1053064097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 10670-125
1205 PROVINCE TER, Menasha, WI 54952
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergio Guerrero Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315398781
PECOS Enrollment IDI20240110001833
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sergio Guerrero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Samaritan Counseling Center Of The Fox Valley, Inc.
Same address
Mental Health (Including Community Mental Health Center)
1205 PROVINCE TER
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 14 clinicians in this Medicare group
NPI 1538175195 (920) 886-9319
Partnership Community Health Center, Inc
5.1 mi
Federally Qualified Health Center (FQHC)
5337 W GRANDE MARKET DR
Appleton, WI 54913
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1225074008 (920) 731-7445

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE MOELLER LPC-IT
Counselor (Mental Health)
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319
PAPHUALA THAO LPC-IT
Counselor (Mental Health)
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319
JESSICA THOMPSON LPC-IT
Counselor (Mental Health)
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319
KATHLEEN STEINER LPC-IT
Counselor (Mental Health)
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319
KAYLEE SIEGEL LPC-IT
Counselor (Mental Health)
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319
SAMARITAN COUNSELING CENTER OF THE FOX VALLEY, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319
RACHEL BIRSCHBACH LPC-IT
Counselor (Mental Health)
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319
MARIANNA BAIZABAL ANDRADE LPC-IT
Counselor (Mental Health)
1205 PROVINCE TER
MENASHA, WI 54952
Calumet County (920) 886-9319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Guerrero's NPI number?

The NPI number for Sergio Guerrero is 1053064097. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Sergio Guerrero located?

Sergio Guerrero practices at 1205 Province Ter, Menasha, WI 54952. The listed phone number is (920) 886-9319.

What is Sergio Guerrero's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sergio Guerrero enrolled in Medicare?

Yes. Sergio Guerrero is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sergio Guerrero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Guerrero reassigns Medicare benefits to 2 organizations: Samaritan Counseling Center Of The Fox Valley, Inc. (Menasha, WI) and Partnership Community Health Center, Inc (Appleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sergio Guerrero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Guerrero accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 2 other insurers list Sergio Guerrero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sergio Guerrero was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.