Active NPI
Enso Counseling LLC
- Marriage & Family Therapist
- Waupaca, WI
National Provider Identifier
1104670918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ENSO COUNSELING LLC
- Doing business as
- Enso Counseling LLC
- Practice address
- 750 Bowling LN
Waupaca, WI 54981-7707 - Phone
- (715) 201-2758
- Fax
- (715) 204-7151
- NPI assigned
- Apr 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elissa Leonora Stults, LMFT
- Title
- Owner
- Phone
- (715) 201-2758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
750 Bowling LN
Waupaca, WI 54981-7707
Mailing address
604 E Lake St
Waupaca, WI 54981-1849
Phone (608) 228-9552
Other names 1
- Enso Counseling LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1104670918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 E LAKE ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549811849",
"telephone_number": "608-228-9552",
"fax_number": "715-204-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BOWLING LN",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549817707",
"telephone_number": "715-201-2758",
"fax_number": "715-204-7151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENSO COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "STULTS",
"authorized_official_first_name": "ELISSA",
"authorized_official_middle_name": "LEONORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-201-2758",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Enso Counseling LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Enso Counseling LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.