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

MS. Nicole Vienna Gustafson, LPC

Individual provider Professional Counselor · NPI 1790916278

MS. Nicole Vienna Gustafson, LPC is a Professional Counselor in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4109 67th St
Kenosha, WI 53142-3836
Phone: (262) 652-9830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4197-125 (WI)

Record details

NPI number1790916278
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 2, 2009
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

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