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FANCHEN GAO LPCIT
NPI 1649859943
Counselor - Professional in Grafton, WI

Active since April 05, 2021
1971 WASHINGTON ST STE 200, GRAFTON, WI 53024(262) 377-6276(262) 377-6289 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fanchen Gao Lpcit NPPES

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

FANCHEN GAO LPCIT (NPI 1649859943) is an individual professional provider in Grafton, Wisconsin, licensed in Wisconsin (4887-226) and active in the NPI registry since April 2021. He maintains a secondary practice location in West Bend.

NPPES Registry Identity

NPI1649859943
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameFANCHEN GAOCredential: LPCIT
Location Address1971 WASHINGTON ST STE 200Grafton, WI 53024-2125
Mailing Address4848 N Lydell Ave Apt 125Milwaukee, WI 53217-5851 · (414) 399-2788
Phone(262) 377-6276
Fax(262) 377-6289
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1649859943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 4887-226
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19275-130 (WI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4887-226 (WI)
1971 WASHINGTON ST STE 200, Grafton, WI 53024
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Secondary Practice Location 1

Location 11622 Chestnut StWest Bend, WI 53095-3014 · Phone (262) 306-9800 · Fax (262) 306-9802

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.

COLLEEN LYNN KASTEN SACIT
Counselor (Addiction (Substance Use Disorder))
1971 WASHINGTON ST STE 200
GRAFTON, WI 53024
Ozaukee County (262) 377-6276
HARSIMRAN KAUR LPCIT
Counselor
1971 WASHINGTON ST STE 200
GRAFTON, WI 53024
Ozaukee County (262) 377-6276
ELIZABETH MIECIELICA
Social Worker (Clinical)
1971 WASHINGTON ST STE 200
GRAFTON, WI 53024
Ozaukee County (262) 377-6276

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 Fanchen Gao's NPI number?

The NPI number for Fanchen Gao is 1649859943. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Fanchen Gao located?

Fanchen Gao practices at 1971 Washington St Ste 200, Grafton, WI 53024. The listed phone number is (262) 377-6276.

What is Fanchen Gao's specialty?

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

When was this NPI record last updated?

The NPPES record for Fanchen Gao was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.