Tracey M Gusman, LPC, SAC, NCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083143291

Tracey M Gusman, LPC, SAC, NCC is a Mental Health Counselor in Weston, Wisconsin. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying: 9
Licensed in: WI
In the registry since: 2017
Specialties on file: 2

What do these letters mean?

LPC — Licensed Professional Counselor: A licensed mental health counsellor.
NCC — National Certified Counselor: A counsellor certified by the NBCC.

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Practice location Address checks out

6304 Kelly Pl
Weston, WI 54476-4397
Phone: (715) 574-5577
Fax: (715) 679-3080

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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 7316 (WI)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X

Record details

NPI number	1083143291
Entity type	Individual (Type 1)
Gender	Female
Credentials	LPC , SAC , NCC
Sole proprietor	Yes
NPI enumerated	June 9, 2017
Last updated in NPPES	September 22, 2025
Certification date	September 22, 2025

Medicare enrollment

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

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2017 (9 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount