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KORAH LEE PETRASKO LPC
NPI 1346741345
Counselor - Professional in Appleton, WI

Active since February 24, 2018PECOS Enrolled
711 N LYNNDALE DR STE 1A, APPLETON, WI 54914(920) 560-4525 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Feb 24, 2018 (2 updates tracked since 2018).

About Korah Lee Petrasko Lpc NPPES

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

KORAH LEE PETRASKO LPC (NPI 1346741345) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (8166) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346741345
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKORAH LEE PETRASKOCredential: LPC
Location Address711 N LYNNDALE DR STE 1AAppleton, WI 54914-3078
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 720-2300 · Fax (920) 720-3719
Phone(920) 560-4525
Sole ProprietorNo
Enumeration DateFebruary 24, 2018
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1346741345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 8166✔ Licensed in WI · 3831-226
711 N LYNNDALE DR STE 1A, Appleton, WI 54914
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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)

Korah Lee Petrasko Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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

NORMAN KEATON FOX
Counselor (Professional)
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914
Outagamie County (920) 560-4524
GJB EEG SERVICES, SC
Specialist/Technologist, Other (EEG)
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914
Outagamie County (920) 560-4525
MS. DOROTHY A FONSTAD MSE, LCSW, CADC 111
Social Worker
711 N LYNNDALE DR STE 1A
APPLETON, WI 54914
Outagamie County (920) 560-4525

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 Korah Petrasko's NPI number?

The NPI number for Korah Petrasko is 1346741345. It was assigned to this individual provider in the NPPES registry on February 24, 2018.

Where is Korah Petrasko located?

Korah Petrasko practices at 711 N Lynndale Dr Ste 1A, Appleton, WI 54914. The listed phone number is (920) 560-4525.

What is Korah Petrasko's specialty?

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

Is Korah Petrasko enrolled in Medicare?

Yes. Korah Petrasko is registered in the Medicare PECOS enrollment system.

What insurance does Korah Petrasko accept?

Health plans from CareSource (Common Ground Healthcare) list Korah Petrasko 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 Korah Petrasko was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.