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MS. BETH LOUISE SULLIVAN MS
NPI 1760558175
Counselor - Professional in Wisconsin Rapids, WI

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494(715) 421-8840(715) 421-8858 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Beth Louise Sullivan Ms NPPES

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

MS. BETH LOUISE SULLIVAN MS (NPI 1760558175) is an individual professional provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (2697125) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1760558175
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. BETH LOUISE SULLIVANCredential: MS
Location Address2611 12TH ST SWisconsin Rapids, WI 54494
Mailing Address111 W Jackson StWisconsin Rapids, WI 54495-2702 · (715) 421-8845 · Fax (715) 421-2266
Phone(715) 421-8840
Fax(715) 421-8858
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1760558175 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 · 2697125
2611 12TH ST S, Wisconsin Rapids, WI 54494
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Beth Louise Rediske

Other Identifiers 1

Medicaid39724500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Beth Louise Sullivan Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173052099
PECOS Enrollment IDI20250411001664
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 15

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

LOUANNE PUFALL CSAC
Counselor (Addiction (Substance Use Disorder))
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-8844
TRACY RENDERMAN SAC, IDP
Counselor (Addiction (Substance Use Disorder))
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-8869
DR. STEVEN C ANDREWS MD
Psychiatry & Neurology (Psychiatry)
2611 12TH ST S, WOOD COUNTY UNIFIED SERVICES
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-8800
KATHERINE LISIECKI RN
Registered Nurse
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-8835
SAMANTHA CASEY LPC
Counselor (Professional)
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 323-2440
RICHARD R KOPELKE CADCIII
Counselor (Addiction (Substance Use Disorder))
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-8800
DEMARIS LOSINSKI APSW
Social Worker
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-8800
MR. RANDALL JOHN AMBROSIUS MSW CADCIII LCSW
Counselor (Addiction (Substance Use Disorder))
2611 12TH ST S, MENTAL HEALTH AODA CLINIC
WISCONSIN RAPIDS, WI 54494
Wood County (715) 421-8849

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 Beth Sullivan's NPI number?

The NPI number for Beth Sullivan is 1760558175. It was assigned to this individual provider in the NPPES registry on November 28, 2006. The provider is also known as Ms. Beth Louise Rediske.

Where is Beth Sullivan located?

Beth Sullivan practices at 2611 12th St S, Wisconsin Rapids, WI 54494. The listed phone number is (715) 421-8840.

What is Beth Sullivan's specialty?

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

Is Beth Sullivan enrolled in Medicare?

Yes. Beth Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beth Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Security Health Plan list Beth Sullivan 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 Beth Sullivan was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.