Ellyn Conhartoski, LPC-IT
Individual provider Active NPI Mental Health Counselor · Iron River, WI
NPI 1356972210 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1356972210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 7665 US Highway 2
Iron River, WI 54847-4690 - Phone
- (715) 372-5001
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Lakes Community Health Center Inc
Practice addresses (Care Compare)
7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240112002526 | WI | Practitioner - Mental Health Counselor | 1254782303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Current |
Accepting new patients |
Locations
300 Main St W
Ashland, WI 54806
Phone (715) 685-2200
15735 W US Highway 63
Hayward, WI 54843
7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
7665 US Highway 2
Iron River, WI 54847-4690
Mailing address
7665 US Highway 2
Iron River, WI 54847-4690
Phone (715) 372-5001
Other providers in Iron River, WI
- Jodi Y Bisbee
- Jamie Bohacek
- Lesley Burg
- Amy Cahanes
- Emma R Cole
- Myrna Draghi
- Deborah A Dryer-Akl
- Christine Marie Dryer
- Nina J Gilberg
- Lavonne Diane Gustafson
All providers in Iron River, WI · Mental Health 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 Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.