HEIDI NICOLE PHISTRY SAC
NPI 1861126773
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since July 15, 2022

1409 EMIL ST, MADISON, WI 53713(608) 283-6426 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Heidi Nicole Phistry Sac NPPES

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

HEIDI NICOLE PHISTRY SAC (NPI 1861126773) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (16539) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1861126773

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameHEIDI NICOLE PHISTRYCredential: SAC

Location Address1409 EMIL STMadison, WI 53713-2311

Mailing Address1409 Emil StMadison, WI 53713-2311 · (608) 283-6426

Phone(608) 283-6426

Sole ProprietorNo

Enumeration DateJuly 15, 2022

NPPES CertifiedJuly 15, 2022

✔ NPI 1861126773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 16539

1409 EMIL ST, Madison, WI 53713

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Other Names 1

Former Name (1)Mrs. Heidi Crider Sac-it

Other Providers at the Same Location NPPES 13

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

MS. TERESA ANNE O'DONNELL LPC

Counselor (Mental Health)