Organization Active NPI

Kindling Wellness LLC

  • Mental Health Counselor
  • Evansville, WI
National Provider Identifier
1063227312
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KINDLING WELLNESS LLC
Practice address
7 E Main St
Suite 4
Evansville, WI 53536
Phone
(608) 285-2424
NPI assigned
Feb 12, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elisabeth Atwell, LPC, CSAC, ICSNPI 1760977086
Title
Owner/ Practitioner
Phone
(608) 285-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

7 E Main St
Suite 4
Evansville, WI 53536

Mailing address

7 E Main St
Suite 4
Evansville, WI 53536
Phone (608) 285-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826001030 WI Part B Supplier - Clinic/Group Practice 5294235073 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1063227312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "53536",
            "telephone_number": "608-285-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "53536",
            "telephone_number": "608-285-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDLING WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-08-07",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "ATWELL",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER/ PRACTITIONER",
        "authorized_official_telephone_number": "608-285-2424",
        "authorized_official_credential": "LPC, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.