SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC) – Professional Counselor, NPI 1003354002

SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC) is a healthcare provider. based in Mount pleasant, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials ATR, LPC, CSAC. They hold a License No. 16619-132 (WI). The NPI Number for SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC) is 1003354002

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)
NPI
1003354002
Phone
Not provided
Address
3805 SPRING ST
Enumeration Date
9 February 2017
Last Update Date
27 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2626872364
Graduation Year
2016 (10 years ago)
PAC ID
3274983978
Group Practice PAC ID
8628980943
Professional Enrollment ID
I20231221000067
Address ID
WI534031978RA1320XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:9State licenses:3Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)

  • 3805 SPRING ST

    MOUNT PLEASANT, WI 534051667

    Phone:

    Type: Mailing

  • 3805B SPRING ST STE 340

    MOUNT PLEASANT, WI 534051644

    Phone: (262) 687-2222

    Type: Location

  • 5228, West Fond du Lac Avenue, Lincoln Creek, Milwaukee, Milwaukee County, Wisconsin, 53216, United States

    MILWAUKEE, WI 532161346

    Phone: (414) 871-9111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231221000067IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628980943View full group profile

Reviews

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Frequently asked questions

Does SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC) have a public NPI I can cite?
Public records show SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC) under NPI 1003354002.
Does the public listing show SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC) as active?
SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)'s NPI record reflects an active status in NPPES.
What services align with SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)'s listing?
SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)?
SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC) is associated with Mount Pleasant, Wisconsin in the same public data insurers reference.
Who maintains SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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