Healthcare Provider Details

I. General information

NPI: 1902282643
Provider Name (Legal Business Name): LAUREN BARTELT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 E EDGEWOOD DR STE 105107
APPLETON WI
54913-9407
US

IV. Provider business mailing address

1835 E EDGEWOOD DR STE 105107
APPLETON WI
54913-9407
US

V. Phone/Fax

Practice location:
  • Phone: 920-234-6842
  • Fax:
Mailing address:
  • Phone: 920-234-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7052-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: