Elizabeth Anne Kallio, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6095 Issued in WI

Practice address

1001 6TH Ave W
Ashland, WI 54806-3018

Phone

(715) 209-0321

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

  • Federally Qualified Health Center (FQHC)
  • Ashland, WI
  • NPI 1699701375

  TX

  Medicare reassignment NPD
• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ashland, WI
  • NPI 1780702829
  NPD
• Bad River Band of Lake Superior Tribe of Chippewa Indains Wis

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, WI
  • NPI 1366618506
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1467932004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 6TH AVE W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063018",
            "telephone_number": "715-209-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 6TH AVE W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063018",
            "telephone_number": "715-209-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIO",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Judd Irwin, M.D.
• Barbara E Jusula, NP
• Liah Jutila, MSW LCSW
• Heidi Lynn Kahlstorf, LMFT
• Bailey Ann Kaira, DO
• Ashley Ann Kamantauskas, MSW, LICSW
• Paul Michael Kasper, PA-C
• Steven Stranberg Kassof, LCSW
• Dana R Katchka, FNP-C
• Jessica Kelm

• All providers in Ashland, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.