Active NPI
Elsa L Manthey, LPC
- Professional Counselor
- Appleton, WI
National Provider Identifier
1396752655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2726-125
- Practice address
- 1049 N Lynndale Dr
Suite 1B
Appleton, WI 54914-3050 - Phone
- (920) 731-9798
- Fax
- (920) 731-1097
- NPI assigned
- Aug 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2726-125 | WI | Primary |
Addresses
Primary practice location
1049 N Lynndale Dr
Suite 1B
Appleton, WI 54914-3050
Mailing address
1049 N Lynndale Dr
Suite 1B
Appleton, WI 54914-3050
Phone (920) 731-9798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39792800 | Medicaid | WI |
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 |
|---|---|---|---|
| 2726-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Lutheran Child & Family Service Inc | Professional | Past | Accepting new patients |
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.
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- NPI 1205905908
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1396752655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 N LYNNDALE DR",
"address_2": "SUITE 1B",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143050",
"telephone_number": "920-731-9798",
"fax_number": "920-731-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 N LYNNDALE DR",
"address_2": "SUITE 1B",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143050",
"telephone_number": "920-731-9798",
"fax_number": "920-731-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTHEY",
"first_name": "ELSA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2726-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39792800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.