KELSEY SUSTARSIC LPCC
NPI 1891229522
Counselor - Professional in Mukwonago, WI
About Kelsey Sustarsic Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY SUSTARSIC LPCC (NPI 1891229522) is an individual professional provider in Mukwonago, Wisconsin, licensed in Ohio (E.2001669) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Sustarsic Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Sustarsic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mentor, OH 44060
- Reassigned Medicare billing, Ohio enrollment
Durham, NC 27701
- Reassigned Medicare billing, Ohio enrollment
- 130 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kelsey Sustarsic's NPI number?
The NPI number for Kelsey Sustarsic is 1891229522. It was assigned to this individual provider in the NPPES registry on April 19, 2017.
Where is Kelsey Sustarsic located?
Kelsey Sustarsic practices at S77w30705 Mosher Dr, Mukwonago, WI 53149. The listed phone number is (216) 570-9680.
What is Kelsey Sustarsic's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelsey Sustarsic enrolled in Medicare?
Yes. Kelsey Sustarsic is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelsey Sustarsic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Sustarsic reassigns Medicare benefits to 2 organizations: Live Well Counseling, LLC (Mentor, OH) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Sustarsic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Sustarsic accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 6 other insurers list Kelsey Sustarsic 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 Kelsey Sustarsic was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kelsey Sustarsic, LPCC · NPI 1891229522
Professional provider in Mukwonago, Wisconsin. Individual provider, active in the CMS NPPES registry since April 19, 2017.
## Identity
- **NPI:** 1891229522 (Entity type: Individual)
- **Enumerated:** April 19, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** E.2001669 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** S77W30705 MOSHER DR, Mukwonago, WI 53149-8860
- **Phone:** (216) 570-9680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Live Well Counseling, LLC (NPI 1932860178, Mentor, OH); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891229522) · Data from the CMS NPPES public registry.