MRS. STEPHANIE A GAUTHIER (LPC-IT) – Professional Counselor, NPI 1497528426

MRS. STEPHANIE A GAUTHIER (LPC-IT) is a healthcare provider. based in Waukesha, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC-IT. They hold a License No. 7671-226 (WI). The NPI Number for MRS. STEPHANIE A GAUTHIER (LPC-IT) is 1497528426

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE A GAUTHIER (LPC-IT)
NPI
1497528426
Phone
(262) 309-5521
Address
1812 MICHAEL DR
Enumeration Date
1 November 2023
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4145368333
Graduation Year
2023 (3 years ago)
PAC ID
1456859677
Group Practice PAC ID
4587565742
Professional Enrollment ID
I20250807002691
Address ID
WI532222213WA3800XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for MRS. STEPHANIE A GAUTHIER (LPC-IT)

  • 1812 MICHAEL DR

    WAUKESHA, WI 531897638

    Phone: (262) 309-5521

    Type: Mailing

  • 3800 N MAYFAIR RD # 1

    WAUWATOSA, WI 532222213

    Phone: (262) 536-8333

    Type: Location

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: 2025-08-07

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
I20250807002691IMental 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 53189)

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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: 4587565742View full group profile
NameSpecialtyState
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
-WI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Can I verify MRS. STEPHANIE A GAUTHIER (LPC-IT) with an NPI only?
You can start verification with NPI 1497528426 for MRS. STEPHANIE A GAUTHIER (LPC-IT), then check state licensing separately.
Does the file indicate MRS. STEPHANIE A GAUTHIER (LPC-IT) is practicing under active NPI?
Directory data currently reports MRS. STEPHANIE A GAUTHIER (LPC-IT) as active.
What is MRS. STEPHANIE A GAUTHIER (LPC-IT)'s specialty?
The listing groups MRS. STEPHANIE A GAUTHIER (LPC-IT) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is MRS. STEPHANIE A GAUTHIER (LPC-IT) based?
MRS. STEPHANIE A GAUTHIER (LPC-IT) is tied to Waukesha, Wisconsin in the data we show; additional addresses may exist on the full record.
Is the information about MRS. STEPHANIE A GAUTHIER (LPC-IT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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