Elisha Allen, LPC-IT
Individual provider Active NPI Professional Counselor · Mauston, WI
NPI 1124648613 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1124648613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 8350-226 (WI)
- Practice address
- 522 Gateway Ave Ste F
Mauston, WI 53948-1450 - Phone
- (608) 377-3864
- Fax
- (608) 716-3155
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 8350-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Line Counseling and Consulting | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8350-226 | WI | Yes |
Addresses
Primary practice location
522 Gateway Ave Ste F
Mauston, WI 53948-1450
Mailing address
522 Gateway Ave Ste F
Mauston, WI 53948-1450
Phone (608) 377-3864
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- Sandra Leann Ahlquist
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- Allison Louise Anderson
- Katherine Andrews
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All providers in Mauston, 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 Mar 3, 2026. 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.