1. Home
  2. Directory
  3. Wisconsin
  4. Black River Falls
  5. Counselor
  6. NPI Profile

EVANGELINE M SUQUET MAC, CSAC, LPC, CSIT
NPI 1912147828
Counselor - Addiction (Substance Use Disorder) in Black River Falls, WI

Active since March 05, 2009PECOS Enrolled
W9850 AIRPORT ROAD, BLACK RIVER FALLS, WI 54615(715) 284-9851(715) 284-3434 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Evangeline M Suquet Mac, Csac, Lpc, Csit NPPES

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

EVANGELINE M SUQUET MAC, CSAC, LPC, CSIT (NPI 1912147828) is an individual addiction (substance use disorder) provider in Black River Falls, Wisconsin, licensed in Wisconsin (15705-132) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1912147828
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameEVANGELINE M SUQUETCredential: MAC, CSAC, LPC, CSIT
Location AddressW9850 AIRPORT ROADBlack River Falls, WI 54615
Mailing AddressPo Box 918, W9850 Airport RoadBlack River Falls, WI 54615 · (715) 284-9851 · Fax (715) 284-3434
Phone(715) 284-9851
Fax(715) 284-3434
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 5, 2009
Last NPPES UpdateOctober 20, 2016
✔ NPI 1912147828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 15705-132
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5231-125 (WI)
W9850 AIRPORT ROAD, Black River Falls, WI 54615
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evangeline M Suquet Mac, Csac, Lpc, Csit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547317927
PECOS Enrollment IDI20260413002222
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 2

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

DUARTE CESPEDES PEREZ SAC-IT
Counselor (Addiction (Substance Use Disorder))
W9850 AIRPORT ROAD
BLACK RIVER FALLS, WI 54615
Jackson County (715) 284-9851
MR. JOHN PLEUGERS M.A. LPC
Counselor (Professional)
W9850 AIRPORT ROAD
BLACK RIVER FALLS, WI 54615
Jackson County (715) 284-9851

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 Evangeline Suquet's NPI number?

The NPI number for Evangeline Suquet is 1912147828. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Evangeline Suquet located?

Evangeline Suquet practices at W9850 Airport Road, Black River Falls, WI 54615. The listed phone number is (715) 284-9851.

What is Evangeline Suquet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Evangeline Suquet enrolled in Medicare?

Yes. Evangeline Suquet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evangeline Suquet was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.