STACY DAHLKE LPC
NPI 1609692003
Counselor - Professional in Fox Lake, WI
About Stacy Dahlke Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY DAHLKE LPC (NPI 1609692003) is an individual professional provider in Fox Lake, Wisconsin, licensed in Wisconsin (12161-125) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacy Dahlke Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacy Dahlke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Wisconsin enrollment
- 163 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacy Dahlke's NPI number?
The NPI number for Stacy Dahlke is 1609692003. It was assigned to this individual provider in the NPPES registry on December 2, 2024.
Where is Stacy Dahlke located?
Stacy Dahlke practices at W10771 Howard Dr W, Fox Lake, WI 53933. The listed phone number is (920) 382-1541.
What is Stacy Dahlke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stacy Dahlke enrolled in Medicare?
Yes. Stacy Dahlke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacy Dahlke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Dahlke reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Stacy Dahlke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Dahlke accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Stacy Dahlke 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 Stacy Dahlke was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Stacy Dahlke, LPC · NPI 1609692003
Professional provider in Fox Lake, Wisconsin. Individual provider, active in the CMS NPPES registry since December 2, 2024.
## Identity
- **NPI:** 1609692003 (Entity type: Individual)
- **Enumerated:** December 2, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 12161-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W10771 HOWARD DR W, Fox Lake, WI 53933-9710
- **Phone:** (920) 382-1541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609692003) · Data from the CMS NPPES public registry.