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TINA GRAY-SIEBERS LPC
NPI 1376028910
Counselor - Professional in Sherwood, WI

Active since September 29, 2018Opted out of Medicare · through Jan 1, 2028
W4711 CASTLE DR, SHERWOOD, WI 54169(920) 287-0406(920) 287-0410 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tina Gray-siebers Lpc NPPES

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

TINA GRAY-SIEBERS LPC (NPI 1376028910) is an individual professional provider in Sherwood, Wisconsin, licensed in Wisconsin (7053-125) and active in the NPI registry since September 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1376028910
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTINA GRAY-SIEBERSCredential: LPC
Location AddressW4711 CASTLE DRSherwood, WI 54169-9681
Mailing AddressW4711 Castle DrSherwood, WI 54169-9681
Phone(920) 287-0406
Fax(920) 287-0410
Sole ProprietorNo
Enumeration DateSeptember 29, 2018
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1376028910 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 · 7053-125
W4711 CASTLE DR, Sherwood, WI 54169
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Quartz, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tina Gray-siebers Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Tina Gray-siebers's NPI number?

The NPI number for Tina Gray-siebers is 1376028910. It was assigned to this individual provider in the NPPES registry on September 29, 2018.

Where is Tina Gray-siebers located?

Tina Gray-siebers practices at W4711 Castle Dr, Sherwood, WI 54169. The listed phone number is (920) 287-0406.

What is Tina Gray-siebers's specialty?

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

Is Tina Gray-siebers enrolled in Medicare?

No. Tina Gray-siebers has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tina Gray-siebers accept?

Health plans from Medica, Quartz and UnitedHealthcare list Tina Gray-siebers 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 Tina Gray-siebers was last updated on March 29, 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.