Organization Active NPI

Enso Counseling LLC

  • Marriage & Family Therapist
  • Waupaca, WI
National Provider Identifier
1104670918
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Jan 6, 2025

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.