SUSANNE D WESLE (LPC) – Professional Counselor, NPI 1174147664

SUSANNE D WESLE (LPC) is a healthcare provider. based in Kaukauna, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 4672226 (WI). The NPI Number for SUSANNE D WESLE (LPC) is 1174147664

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNE D WESLE (LPC)
NPI
1174147664
Phone
(920) 268-8454
Address
132 LAMP LIGHTER DR APT 8
Enumeration Date
1 June 2020
Last Update Date
22 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204168577
Graduation Year
2020 (6 years ago)
PAC ID
9830533504
Group Practice PAC ID
1052729464
Professional Enrollment ID
I20240221001888
Address ID
WI549138556AP2500XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for SUSANNE D WESLE (LPC)

  • 132 LAMP LIGHTER DR APT 8

    KAUKAUNA, WI 541309577

    Phone: (920) 268-8454

    Type: Mailing

  • 225 S MAIN ST SUITE 3

    SEYMOUR, WI 541651439

    Phone: (920) 385-1420

    Type: Location

  • 1900 SILVER LAKE RD NW STE 110

    NEW BRIGHTON, MN 551121789

    Phone: (651) 628-9566

    Fax: (651) 628-0411

    Type: Mailing

  • 2500 E ENTERPRISE AVE STE B

    APPLETON, WI 549138556

    Phone: (920) 416-8577

    Fax: (608) 668-4006

    Type: Location

  • 225 S Main St Suite 3

    Seymour, WI 541651439

    Phone: (920) 385-1420

    Type: Location

  • 1011 N Lynndale Dr Ste 2D

    Appleton, WI 549143091

    Phone: (920) 385-1420

    Fax: (866) 327-3295

    Type: Location

  • 2225 N LOCUST ST

    APPLETON, WI 549142325

    Phone: (920) 268-8454

    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: 2024-02-21

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
I20240221001888IMental 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 54130)

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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: 1052729464View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorMA

Reviews

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Frequently asked questions

Does SUSANNE D WESLE (LPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUSANNE D WESLE (LPC) uses 1174147664.
Can I rely on SUSANNE D WESLE (LPC) being an active provider?
As of the registry snapshot, SUSANNE D WESLE (LPC) is marked active.
What taxonomy line describes SUSANNE D WESLE (LPC)?
For research purposes, treat SUSANNE D WESLE (LPC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SUSANNE D WESLE (LPC)?
SUSANNE D WESLE (LPC)'s geographic hint is Kaukauna, Wisconsin in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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