Individual provider Active NPI

Eleena Hardzinski, LMFT

  • Marriage & Family Therapist
  • Brown Deer, WI
National Provider Identifier
1154656569
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
824124 Issued in WI
Practice address
3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209-1220
Phone
(414) 540-2170
NPI assigned
Oct 3, 2009
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 824124 WI Primary

Addresses

Primary practice location

3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209-1220

Mailing address

861 Kimball LN Unit 105
Verona, WI 53593-1793
Phone (608) 354-3584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000741 WI Practitioner - Marriage and Family Therapist 2961840095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Psychotherapy LLCGroup PAC ID 8628222064, 10 clinicians

Practice addresses (Care Compare)

4700 Dresser Dr
Suite 100
Janesville, WI 53546-9160
Phone (608) 752-7255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
824124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychotherapy, LLC CurrentSince Jan 24, 2024 Accepting new patients

Locations

4700 Dresser Dr
Ste 100
Janesville, WI 53546
Phone (608) 752-7255

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1154656569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 KIMBALL LN UNIT 105",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931793",
            "telephone_number": "608-354-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W BROWN DEER RD",
            "address_2": "SUITE 200",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091220",
            "telephone_number": "414-540-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDZINSKI",
        "first_name": "ELEENA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-03",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "824124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

Verify at the official NPI Registry.