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Sandra Lee Mittelsteadt , LPC

Counselor - Professional β€’ Appleton, WI

Active NPI 1104096189 Individual Practitioner Female Practitioner
Practice location in NPPES

4321 W College Ave Ste 200
Appleton, WI 549143968

Call 9203580118 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4321 W College Ave Ste 200

Appleton, WI 549143968

Telephone 9203580118
Organization at the Same NPPES Address or Phone
The Cervical Spine Institute And Neuromonitoring, Llc Facility NPI 1235630625

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

193 active clinicians are listed under Counselor - Professional with a practice address in Appleton, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.7% of these 193 clinicians have the CMS telehealth indicator.

18.1% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 4398-125
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Emily Hoch , MSW, CAPSW, CSAC

Social Worker - Clinical

NPI 1033485552

Master of Social Work, CAPSW, Certified Substance Abuse Counselor

Sarah Saleemi

Internal Medicine

NPI 1922422807

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location September 26, 2025

Registered at 4321 W COLLEGE AVE STE 200, APPLETON, WI 549143968 (Tel: 9203580118)

πŸ“
Updated Business Mailing Address September 26, 2025

Registered at 1155 ESTHER ANN LN, HORTONVILLE, WI 549442402 (Tel: 7152812610)

πŸ“
Updated Practice Location April 06, 2023

Registered at W6144 AEROTECH DR, APPLETON, WI 549147503 (Tel: 9207332065)

πŸ“
Updated Business Mailing Address April 06, 2023

Registered at 6144 AEROTECH DRIVE, APPLETON, WI 549141155 (Tel: 7152812610)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2023

Counselor (license number reported to NPPES: WI 4398-125)

βœ…
NPI Profile Active September 13, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2010

Registered at 1095 MIDWAY RD, MENASHA, WI 549521115 (Tel: 9207202300)

πŸ“
Business Mailing Address (Initial Record) September 13, 2010

Registered at 1095 MIDWAY RD, MENASHA, WI 549521115 (Tel: 9207203700)

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2010

Recorded as SANDRA MITTELSTEADT, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2010

Counselor (license number reported to NPPES: WI 4398)

🟒
Initial NPI Registration & Enumeration March 06, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104096189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2008
Last Update: May 17, 2026
Sole Proprietor: Yes

Mailing Address

1155 Esther Ann Ln

Hortonville, WI 549442402

Phone: 7152812610

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.