Individual provider Active NPI

Lisa J Harrenstein, M.A., L.P.C.

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1508150327
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4545-125 Issued in WI
Practice address
705 S 24TH Ave
Suite 400
Wausau, WI 54401-5242
Phone
(715) 848-1457
Fax
(715) 848-2959
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4545-125 WI Primary

Addresses

Primary practice location

705 S 24TH Ave
Suite 400
Wausau, WI 54401-5242

Mailing address

705 S 24TH Ave
Suite 400
Wausau, WI 54401-5242
Phone (715) 848-1457

Other identifiers 1

IdentifierTypeStateIssuer
1508150327MedicaidWI

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
I20240116000255 WI Practitioner - Mental Health Counselor 1658729199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4545-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Children'S Service Society Professional Past Accepting new patients

Locations

2620 Stewart Ave
Ste 310
Wausau, WI 54401
Phone (715) 848-0525

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1508150327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S 24TH AVE",
            "address_2": "SUITE 400",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015242",
            "telephone_number": "715-848-1457",
            "fax_number": "715-848-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S 24TH AVE",
            "address_2": "SUITE 400",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015242",
            "telephone_number": "715-848-1457",
            "fax_number": "715-848-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRENSTEIN",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4545-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508150327",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.