Provider Demographics
NPI:1346746336
Name:NESS, SARAH (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:NESS
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12720 W NORTH AVE
Mailing Address - Street 2:BLDG B STE 200
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005
Mailing Address - Country:US
Mailing Address - Phone:262-785-1500
Mailing Address - Fax:262-785-1555
Practice Address - Street 1:12720 W NORTH AVE
Practice Address - Street 2:BLDG B STE 200
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005
Practice Address - Country:US
Practice Address - Phone:262-785-1500
Practice Address - Fax:262-785-1555
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15980101YA0400X
101YM0800X
WI6035-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)