Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tricia Ann Kerker, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063796506

Mrs. Tricia Ann Kerker, LPC is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2007, 19 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

480 Pilgrim Way # 1300-A
Green Bay, WI 54304-5280
Phone: (920) 610-5119
Fax: (920) 610-5120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4678 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15606-131 (WI)

Record details

NPI number1063796506
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 3, 2011
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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