MRS. CARMEN A GUSTIN SAC-IT, IDP-AT
NPI 1164277570
Counselor - Addiction (Substance Use Disorder) in Racine, WI

Active since April 19, 2024
1717 TAYLOR AVE, RACINE, WI 53403(262) 638-6612 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Carmen A Gustin Sac-it, Idp-at NPPES

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

MRS. CARMEN A GUSTIN SAC-IT, IDP-AT (NPI 1164277570) is an individual addiction (substance use disorder) provider in Racine, Wisconsin, licensed in Wisconsin (20545-130) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1164277570
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CARMEN A GUSTINCredential: SAC-IT, IDP-AT
Location Address1717 TAYLOR AVERacine, WI 53403-2405
Mailing Address1717 Taylor AveRacine, WI 53403-2405 · (262) 638-6612
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
NPI 1164277570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 20545-130
1717 TAYLOR AVE, Racine, WI 53403

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Counselor (Professional)
1717 TAYLOR AVE
RACINE, WI 53403
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Counselor (Mental Health)
1717 TAYLOR AVE
RACINE, WI 53403
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Counselor (Professional)
1717 TAYLOR AVE
RACINE, WI 53403
Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Social Worker (Clinical)
1717 TAYLOR AVE
RACINE, WI 53403

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 Carmen Gustin's NPI number?

The NPI number for Carmen Gustin is 1164277570. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Carmen Gustin located?

Carmen Gustin practices at 1717 Taylor Ave, Racine, WI 53403. The listed phone number is (262) 638-6612.

What is Carmen Gustin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carmen Gustin was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.