Dynamic Potential
NPI 1023656162ActiveOrganization· Psychologist, Counseling· Racine, WI
Psychologist, Counseling in Racine, Wisconsin, registered in NPPES in December 2019. The authorized official on file is Stephanie R. Raszkiewicz, PHD, Licensed Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023656162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2019 |
| Last updated in NPPES | Feb 24, 2020 |
| Certified by provider | Feb 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — | — |
| Psychologist, Family | 103TF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|