SALLY BARDIN LPC
NPI 1679606529
Counselor - Professional in Lake Geneva, WI

Active since March 13, 2007
101 BROAD ST STE 201, LAKE GENEVA, WI 53147(262) 248-7942(262) 248-1202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Bardin Lpc NPPES

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

SALLY BARDIN LPC (NPI 1679606529) is an individual professional provider in Lake Geneva, Wisconsin, licensed in Wisconsin (3762-125) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1679606529
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSALLY BARDINCredential: LPC
Location Address101 BROAD ST STE 201Lake Geneva, WI 53147-2061
Mailing Address1116 Royal Birkdale CtLake Geneva, WI 53147-5013
Fax(262) 248-1202
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1679606529 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 · 3762-125
101 BROAD ST STE 201, Lake Geneva, WI 53147

Other Identifiers 1

Medicaid43715500WI

Other Providers at the Same Location NPPES

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

Counselor (Professional)
101 BROAD ST STE 201
LAKE GENEVA, WI 53147

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 Sally Bardin's NPI number?

The NPI number for Sally Bardin is 1679606529. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Sally Bardin located?

Sally Bardin practices at 101 Broad St Ste 201, Lake Geneva, WI 53147. The listed phone number is (262) 248-7942.

What is Sally Bardin'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 Sally Bardin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.