Theresa A Ellison, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13165 Issued in WI

Practice address

13 Bay St
Chippewa Falls, WI 54729-2437

Phone

(715) 726-9023

Fax

(715) 726-9055

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa A. Constance 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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1447574702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 95TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295189",
            "telephone_number": "715-896-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BAY ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292437",
            "telephone_number": "715-726-9023",
            "fax_number": "715-726-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "CONSTANCE",
            "middle_name": "A.",
            "credential": "CSAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Ehlert
• Erika Ehrhard
• Meghan Rose Eisenbraun, MSW, APSW
• Violet Ellington, APN CNP
• Kelsey Ellis, PT
• Bethany Lyn Ellwanger, MS, OTR
• Emily Erickson
• Kayley Eslinger, SLP
• Anne Estling, ND (TRAD), IFMP
• Family Health Center of Marshfield Inc

• Addiction (Substance Use Disorder) Counselor in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.