Elizabeth Mulderink, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10787-125 Issued in WI

Practice address

200 Hickory St
Mauston, WI 53948-2101

Phone

(608) 847-2400

Fax

(608) 847-9599

NPI assigned

Jun 26, 2023

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Juneau CountyGroup PAC ID 5395759047, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Juneau County

  dba Juneau County Department of Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mauston, WI
  • NPI 1487691697
  Medicare reassignment Care Compare group NPD
• Juneau County

  dba Juneau Counth Health Dept

  • Public Health or Welfare Agency
  • Mauston, WI
  • NPI 1093872285
  NPD

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1457037228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539482101",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539482101",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDERINK",
        "first_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19563-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5154-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10787-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mile Bluff Medical Center Inc (Mile Bluff Mauston Clinic)
• Mile Bluff Medical Center Inc (Mile Bluff Hospital CRNA)
• Danielle J Moore, LPC
• Abigail Moring, CF-SLP
• Sabrina Marie Mortensen, FNP-C
• Heather Mundschau, APSW
• Cathleen Elizabeth Murphy, NP
• John M Murphy, MD
• Mary Beth Murray, SW
• Timothy E. Napier, M.D.

• Professional Counselor in Mauston, WI
• Providers in Mauston, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.