IndividualActive
Nicole Gustafson, L.P.C.
NPI 1790916278 · Professional Counselor · Kenosha, WI
Nicole Gustafson, L.P.C. is a Professional Counselor provider in Kenosha, WI (NPI 1790916278).
Provider details
- NPI number
- 1790916278
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- L.P.C.
- Sex
- Female
- Sole proprietor
- No
- License
- 4197-125 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4109 67th St
Kenosha, WI 53142-3836
Phone: (262) 652-9830
Street-level locationGet directions
Mailing address
4601 Lake Meadow Dr
Wind Point, WI 53402-5319
Registry dates
- Enumerated
- 2009-08-02
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Nicole Gustafson's NPI number?
- Nicole Gustafson's National Provider Identifier (NPI) is 1790916278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Gustafson's specialty?
- Nicole Gustafson is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Gustafson located?
- Nicole Gustafson's practice location on file with NPPES is 4109 67th St, Kenosha, WI 53142-3836.
- What is Nicole Gustafson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Gustafson is (262) 652-9830.
- Is Nicole Gustafson's NPI active?
- Yes — Nicole Gustafson's NPI (1790916278) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.