Individual provider Active NPI

Elyse Marie Laing, LPC

  • Professional Counselor
  • McFarland, WI
National Provider Identifier
1306207949
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7210 Issued in WI
Practice address
Common Threads
5979 Siggelkow Rd.
McFarland, WI 53558
Phone
(608) 838-8999
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7210 WI Primary

Addresses

Primary practice location

Common Threads
5979 Siggelkow Rd.
McFarland, WI 53558

Mailing address

6482 State Road 19
Waunakee, WI 53597

Other names 1

  • Ms. Elyse Marie Gardner Former name

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
I20240625003580 WI Practitioner - Mental Health Counselor 5294279782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling & Wellness, LLC Professional CurrentSince May 1, 2024 Accepting new patients
Catholic Charities, Inc. Roman Catholic Diocese Past Accepting new patients
Common Threads Family Resource Center Past Accepting new patients

Locations

1943 Winnebago St
Madison, WI 53704
Phone (608) 244-4859

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1306207949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6482 STATE ROAD 19",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "53597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMON THREADS",
            "address_2": "5979 SIGGELKOW RD.",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "53558",
            "telephone_number": "608-838-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAING",
        "first_name": "ELYSE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "GARDNER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McFarland, WI

Sources for this page

Verify at the official NPI Registry.