Elizabeth Ellen Patera-Butz, LPC
Individual provider Active NPI Professional Counselor · Sister Bay, WI
NPI 1013208511 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1013208511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5481-125 (WI)
- Practice address
- 1940 Scandia Rd
Sister Bay, WI 54234-9580 - Phone
- (920) 403-0743
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5481-125 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5481-125 | WI | Yes |
Addresses
Primary practice location
1940 Scandia Rd
Sister Bay, WI 54234-9580
Mailing address
PO Box 1067
Sister Bay, WI 54234-1067
Phone (920) 403-0743
Other names
- Elizabeth Ellen Patera
Other providers in Sister Bay, WI
- Robert Edwin Morley
- Northern Door Chiropractic and Wellness LLC
- Northern Door Dental SC
- Northern Door Physical Therapy & Wellness LLC
- Anna Olson
- Maynard Dillon Poland
- Lori Solberg Pothast
- Joseph Joshua Rebhan
- Carol A Shabbit
- Shopko Stores Operating Co LLC
All providers in Sister Bay, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.