Individual provider Active NPI

Cory D Tischman

  • Marriage & Family Therapist
  • Eau Claire, WI
National Provider Identifier
1427307750
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
987-124 Issued in WI
Practice address
2004 Highland Ave Ste O
Eau Claire, WI 54701-4389
Phone
(715) 255-1117
Fax
(320) 640-9261
NPI assigned
Aug 31, 2012
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 987-124 WI Primary

Addresses

Primary practice location

2004 Highland Ave Ste O
Eau Claire, WI 54701-4389

Mailing address

2004 Highland Ave Ste O
Eau Claire, WI 54701-4389
Phone (715) 255-1117

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
I20260618003777 WI Practitioner - Marriage and Family Therapist 9234669284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2004 Highland Ave
Suite O
Eau Claire, WI 54701-4389
Phone 71525511171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eclipse Counseling LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

2004 Highland Ave
Ste O
Eau Claire, WI 54701
Phone (715) 255-1117

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.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1427307750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE STE O",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014389",
            "telephone_number": "715-255-1117",
            "fax_number": "320-640-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE STE O",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014389",
            "telephone_number": "715-255-1117",
            "fax_number": "320-640-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCHMAN",
        "first_name": "CORY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "987-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.