Active NPI
Elizabeth Mae Feldhausen, LPC
- Professional Counselor
- Green Bay, WI
National Provider Identifier
1205547619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12068-125
- Practice address
- 2670 S Ashland Ave Ste 202
Green Bay, WI 54304-5300 - Phone
- (920) 680-9368
- NPI assigned
- Dec 6, 2022
- Last updated
- Oct 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7141-266 | WI | |
| Professional Counselor | 101YP2500X | 12068-125 | WI | Primary |
Addresses
Primary practice location
2670 S Ashland Ave Ste 202
Green Bay, WI 54304-5300
Mailing address
3046 Inverness Cir
New Franken, WI 54229-9620
Phone (920) 680-9368
Other practice location 1
301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone (920) 404-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7141-266 | WI | MD | Mental Health Counselor |
| 12068-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1205547619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3046 INVERNESS CIR",
"city": "NEW FRANKEN",
"state": "WI",
"postal_code": "542299620",
"telephone_number": "920-680-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 S ASHLAND AVE STE 202",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045300",
"telephone_number": "920-680-9368"
}
],
"practiceLocations": [
{
"address_1": "301 E Saint Joseph St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543012241",
"country_code": "US",
"telephone_number": "920-404-2250",
"fax_number": "414-307-1850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELDHAUSEN",
"first_name": "ELIZABETH",
"middle_name": "MAE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7141-266",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "12068-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.