MEDICARE: SANDRA LEE MITTELSTEADT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4398-125	WI

General Provider Information

NPI Number	:	1104096189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LEE MITTELSTEADT LPC

Provider Business Mailing Address
First Line	:	1155 ESTHER ANN LN
Second Line	:
City	:	HORTONVILLE
State	:	WI
Zip	:	54944-2402
Country	:	US
Telephone Number	:	715-281-2610
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 W COLLEGE AVE STE 200
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-3968
Country	:	US
Telephone Number	:	920-358-0118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	02/15/2026

Similar Medicare Providers

1598885709 — MS. RUTH ANN NELSON-LAU FNP
Practice Location Address:

4321 W. COLLEGE AVE. STE 200
APPLETON, WI
54914-3968

Practice Phone: 715-921-9568
Practice Fax:

1750619417 — ADULT CARE CONSULTANTS INC
Practice Location Address:

4321 W COLLEGE AVE STE 380
APPLETON, WI
54914-3968

Practice Phone: 920-886-3191
Practice Fax: 920-215-6365

1891085130 — ERIC SOUCY RUEFF D.O.
Practice Location Address:

4321 W COLLEGE AVE STE 200
APPLETON, WI
54914-3968

Practice Phone: 920-882-7780
Practice Fax: 920-214-1187

1033485552 — MS. EMILY M HOCH MSW, CAPSW, CSAC
Practice Location Address:

4321 W COLLEGE AVE STE 200
APPLETON, WI
54914-3968

Practice Phone: 920-215-1645
Practice Fax:

1427495829 — LORETTA N MARKUS
Practice Location Address:

4321 W COLLEGE AVE STE 200
APPLETON, WI
54914-3968

Practice Phone: 920-916-0730
Practice Fax:

1922422807 — SARAH SALEEMI
Practice Location Address:

4321 W COLLEGE AVE STE 200
APPLETON, WI
54914-3968

Practice Phone: 920-267-5576
Practice Fax:

Directions to “ SANDRA LEE MITTELSTEADT LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.