Stephanie Lynn White Eagle, MFT,CSAC
NPI 1184957334ActiveIndividual· Marriage & Family Therapist· Baraboo, WI
Marriage & Family Therapist (MFT,CSAC) with Community Service Associates, SC and 1 other group, practicing in Baraboo, Wisconsin. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1184957334 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MFT,CSAC |
| Sole proprietor | No |
| NPI issued | Sep 4, 2009 |
| Last updated in NPPES | Oct 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 1258-124 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 11480-132 | WI |
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 Practitioner - Marriage and Family Therapist (WI) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
| Telehealth | Offers telehealth |
Medical groups
- Community Service Associates, SCMadison, WI · 36 clinicians
- Ho Chunk NationBlack River Falls, WI · 28 clinicians
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