Organization Active NPI

Saris Counseling

  • Mental Health Counselor
  • Appleton, WI
National Provider Identifier
1558736884
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5873125 Issued in WI
Legal business name
SARIS COUNSELING
Practice address
3416 N Association Dr
Appleton, WI 54914-1479
Phone
(920) 364-9078
Fax
(920) 243-1792
NPI assigned
Dec 11, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Mrs. Brenda Velissaris, MSE, LPC, NCCNPI 1265616767
Title
Clinical Director/Owner
Phone
(920) 364-9078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5873125 WI Primary

Addresses

Primary practice location

3416 N Association Dr
Appleton, WI 54914-1479

Mailing address

3416 N Association Dr
Appleton, WI 54914-1479
Phone (920) 364-9078

Other names 1

  • Evolve Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1558736884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 N ASSOCIATION DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141479",
            "telephone_number": "920-364-9078",
            "fax_number": "920-243-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 N ASSOCIATION DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141479",
            "telephone_number": "920-364-9078",
            "fax_number": "920-243-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARIS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "VELISSARIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "920-364-9078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSE, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5873125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.