Emily Enstad, ATR, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6542-125 Issued in WI

Practice address

W7815 Shore Acres Rd
Lake Mills, WI 53551-9754

Phone

(262) 490-5062

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Emily Ordway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1245700715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7815 SHORE ACRES RD",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535519754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W7815 SHORE ACRES RD",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535519754",
            "telephone_number": "262-490-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSTAD",
        "first_name": "EMILY",
        "credential": "ATR, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6542-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ORDWAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Lake Mills, WI
• Providers in Lake Mills, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.