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STACY DAHLKE LPC
NPI 1609692003
Counselor - Professional in Fox Lake, WI

Active since December 02, 2024PECOS Enrolled
W10771 HOWARD DR W, FOX LAKE, WI 53933(920) 382-1541 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Nov 4, 2025, Dec 2, 2024 (3 updates tracked since 2024).

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

NPI1609692003
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY DAHLKECredential: LPC
Location AddressW10771 HOWARD DR WFox Lake, WI 53933-9710
Mailing AddressW10771 Howard Dr WFox Lake, WI 53933-9710 · (920) 382-1541
Phone(920) 382-1541
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 2, 2024
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1609692003 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 · 12161-125
W10771 HOWARD DR W, Fox Lake, WI 53933
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Dahlke Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981196870
PECOS Enrollment IDI20251128000280
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.

COMFORTABLY HUMAN WELLNESS
Counselor (Mental Health)
W10771 HOWARD DR W
FOX LAKE, WI 53933
Dodge County (920) 382-1541

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.

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 8 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.