Organization Active NPI

Eclipse Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eau Claire, WI
National Provider Identifier
1114535929
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ECLIPSE COUNSELING LLC
Practice address
2004 Highland Ave Ste O
Eau Claire, WI 54701-4389
Phone
(715) 255-1117
Fax
(320) 640-9261
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Cory Tischman, MSNPI 1427307750
Title
Owner
Phone
(715) 255-1117

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2004 Highland Ave Ste O
Eau Claire, WI 54701-4389

Mailing address

2004 Highland Ave Ste O
Eau Claire, WI 54701-4389
Phone (715) 255-1117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260618003560 WI Part B Supplier - Clinic/Group Practice 5294207312 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

2004 Highland Ave
Ste O
Eau Claire, WI 54701
Phone (715) 255-1117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1114535929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE STE O",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014389",
            "telephone_number": "715-255-1117",
            "fax_number": "320-640-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE STE O",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014389",
            "telephone_number": "715-255-1117",
            "fax_number": "320-640-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "TISCHMAN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-255-1117",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.