Provider Demographics
NPI:1619099819
Name:WISCHKI, ANNASTASIA LOUIS (LPC)
Entity type:Individual
Prefix:
First Name:ANNASTASIA
Middle Name:LOUIS
Last Name:WISCHKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W206N16747 BLACKBERRY CIR UNIT 1702
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WI
Mailing Address - Zip Code:53037-9029
Mailing Address - Country:US
Mailing Address - Phone:262-505-2280
Mailing Address - Fax:
Practice Address - Street 1:W206N16747 BLACKBERRY CIR UNIT 1702
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WI
Practice Address - Zip Code:53037-9029
Practice Address - Country:US
Practice Address - Phone:262-505-2280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15364-130101YA0400X
WI4402-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)