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MS. KRISTINE KAY SACK LPC
NPI 1215291950
Counselor - Professional in Green Bay, WI

Active since June 27, 2012PECOS Enrolled
926 WILLARD DRIVE, STE 136, GREEN BAY, WI 54304(920) 461-5820(888) 449-6342 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Oct 8, 2020 (2 updates tracked since 2020).

About Ms. Kristine Kay Sack Lpc NPPES

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

MS. KRISTINE KAY SACK LPC (NPI 1215291950) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (5307-125) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215291950
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KRISTINE KAY SACKCredential: LPC
Location Address926 WILLARD DRIVE, STE 136Green Bay, WI 54304-5071
Mailing Address926 Willard Drive, Ste 136Green Bay, WI 54304-5071 · (920) 461-5820 · Fax (888) 449-6342
Phone(920) 461-5820
Fax(888) 449-6342
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2012
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1215291950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5307-125
926 WILLARD DRIVE, Green Bay, WI 54304
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, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kristine Kay Sack Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800320912
PECOS Enrollment IDI20241112004169
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.

Other Providers at the Same Location NPPES

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

LIGHTHOUSE COUNSELING CENTER LLC
Counselor (Professional)
926 WILLARD DRIVE, SUITE 136
GREEN BAY, WI 54304
Brown County (920) 460-9301

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 Kristine Sack's NPI number?

The NPI number for Kristine Sack is 1215291950. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Kristine Sack located?

Kristine Sack practices at 926 Willard Drive Ste 136, Green Bay, WI 54304. The listed phone number is (920) 461-5820.

What is Kristine Sack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristine Sack enrolled in Medicare?

Yes. Kristine Sack is registered in the Medicare PECOS enrollment system.

What insurance does Kristine Sack accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Network Health and Providence Health Plan and 1 other insurer list Kristine Sack 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 Kristine Sack was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.