Roberta A Mack is a Professional Counselor practicing in Lacrosse, Wisconsin. The National Provider Identifier (NPI) is #1558302026, which was assigned on June 8, 2006, and the registration record was last updated on September 11, 2025. The practitioner's main practice location is at 212 S 11th Street, Lacrosse, WI 54601; the contact telephone number is 6087919555, and the fax number is 6087919432. The primary taxonomy of Roberta A Mack is Professional Counselor (101YP2500X), with specialization in Professional. Roberta A Mack is licensed to practice in the state of Wisconsin (#11611), Wisconsin (#3598).
| NPI | 1558302026 |
| Entity Type | Individual |
| Provider Name | ROBERTA A MACK |
| Gender | Female |
| Credential | MS CADCIII LPC |
| Practice Address |
212 S 11th Street Lacrosse WI 54601 |
| Practice Telephone | 6087919555 |
| Practice Fax Number | 6087919432 |
| Mailing Address |
700 West Avenue South Attn Physician Services Lacrosse WI 54601 |
| Mailing Telephone | 6087914156 |
| Mailing Fax Number | 6087919898 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-09-11 |
| Is Sole Proprietor | X |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 11611 | WI | |
| Y | 101YP2500X | Counselor | Professional | 3598 | WI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 39715500 | WI | MEDICAID |
| Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| Classification | Counselor |
| Specialization | Professional |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Seth Bandel Kite | 818 4th Ave, Grinnell, IA 50112-2041 | Professional Counselor | 2026-05-08 |
| Rob Moser Counseling, PLLC | 1213 Culbreth Dr Ste 143, Wilmington, NC 28405-3639 | Professional Counselor | 2026-05-08 |
| Leo Sharron | 1404 N Gonzales St, Cuero, TX 77954-2418 | Professional Counselor | 2026-05-09 |
| Easley Counseling & Consulting Group Inc. | 201 Se Walton Lakes Dr, Port St Lucie, FL 34952-3484 | Professional Counselor | 2026-05-08 |
| Holistic Psychotherapy Maine | 500 Forest Ave Ste 5a, Portland, ME 04101-1520 | Professional Counselor | 2026-05-09 |
| Legacy Counseling, PLLC | 37027 Whipstock Rd, Magnolia, TX 77354-1911 | Professional Counselor | 2026-05-08 |
| The Human Condition Company, LLC | 223 N 6th St Ste 40, Boise, ID 83702-6092 | Professional Counselor | 2026-05-09 |
| Kristina Elese Taylor | 12700 Antioch Rd, Overland Park, KS 66213-2827 | Professional Counselor | 2026-05-08 |
| Sasha Moen | 12180 N Mopac Expy Ste B, Austin, TX 78758-2909 | Professional Counselor | 2026-05-08 |
| Casey Bradley | 1770 25th Ave Ste 102, Greeley, CO 80634-4948 | Professional Counselor | 2026-05-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
212 S 11TH STREET |
| City | LACROSSE |
| State | WI |
| Zip Code | 54601 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Julie A Conway | 212 S 11th Street, Lacrosse, WI 54601 | Professional Counselor | 2006-06-08 |
| Georgia R Keenan | 212 S 11th Street, Lacrosse, WI 54601 | Professional Counselor | 2006-06-03 |
| Kimberly K Erickson Nichols | 212 S 11th Street, La Crosse, WI 54601 | Professional Counselor | 2006-06-07 |
| Tamara L Ender | 212 S 11th Street, Lacrosse, WI 54601 | Clinical Social Worker | 2006-06-03 |
| Marshall H Dahlin | 212 S 11th Street, La Crosse, WI 54601 | Addiction (Substance Use Disorder) Counselor | 2006-05-27 |
| Devin C Hakala | 212 S 11th Street, Lacrosse, WI 54601 | Marriage & Family Therapist | 2006-06-03 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Chelsea Heil | 1301 East Ave S, La Crosse, WI 54601 | Physical Therapy Assistant | 2021-10-03 |
| Hy-Vee, Inc. | 4200 State Hwy 16, La Crosse, WI 54601 | Durable Medical Equipment & Medical Supplies | 2022-10-07 |
| Morgan Mcdougall | 1601 Badger Street, La Crosse, WI 54601 | Athletic Trainer | 2015-01-07 |
| Leon George Schlesser | 900 West Avenue South, Lacrosse, WI 54601 | Pharmacist | 2011-11-14 |
| Nichole Ashley Finney | 2617 Main St., La Crosse, WI 54601 | Pharmacist | 2013-08-14 |
| Maddisen Payge Long-Pero | 1725 State Street, 4051 Health Science Center, La Crosse, WI 54601 | Basic Emergency Medical Technician | 2020-03-30 |
| Veronica Gayle Spencer | 4000 Wi-16, Valley View Mall Annex, La Crosse, WI 54601 | Audiologist | 2019-05-16 |
| Scott Eppley | 1900 South Avenue, Department of Pharmacy, Mailstop Lml-001, La Crosse, WI 54601 | Pharmacist | 2024-09-03 |
| Emily Porter | 115 5th Ave S Ste 507, La Crosse, WI 54601 | Mental Health Counselor | 2019-05-29 |
| Patrick Halton | 321 S 19th St, La Crosse, WI 54601 | Pharmacist | 2011-11-19 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Roberta West | 1913 W Townline Rd, Peoria, IL 61615-1621 | Clinical Social Worker | 2026-03-31 |
| Roberta J Colwell | 2200 Rainier Ave S Ste 201, Seattle, WA 98144-4642 | Mental Health Counselor | 2026-04-09 |
| Roberta Whitefield | 5100 Sunrise Hwy Fl 2, Massapequa Park, NY 11762-2935 | Addiction (Substance Use Disorder) Counselor | 2026-02-24 |
| Roberta Bussey | 7204 Curacas Dr, Augusta, GA 30909-4788 | Ambulatory Women's Health Care Registered Nurse | 2026-04-23 |
| Roberta Brady | 8530 Township Line Rd, Indianapolis, IN 46260-1927 | Mental Health Counselor | 2026-04-16 |
| Roberta Rochetti | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | Speech-Language Pathologist | 2026-02-17 |
| Roberta Mae Dittmer | 8347-A Greensboro Drive, Mclean, VA 22102 | Massage Therapist | 2026-01-26 |
| Roberta Boateng | 800 N Rainbow Blvd Ste 28, Las Vegas, NV 89107-1189 | Personal Care Attendant | 2026-03-02 |
| Roberta Lemaire | 42 Argyle Dr, Smith Point, NY 11967-4202 | Registered Nurse | 2011-01-10 |
| Roberta Abshire | 12100 Highway 49 Ste 706, Gulfport, MS 39503-3178 | Massage Therapist | 2026-04-06 |
Do you have more infomration about Roberta A Mack? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |