Individual provider Active NPI

Elizabeth Disch, LPC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1598278335
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7203-125 Issued in WI
Practice address
6601 Grand Teton PLZ Ste B3
Madison, WI 53719-1056
Phone
(608) 509-7524
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7203-125 WI Primary

Addresses

Primary practice location

6601 Grand Teton PLZ Ste B3
Madison, WI 53719-1056

Mailing address

6601 Grand Teton PLZ Ste B3
Madison, WI 53719-1056
Phone (608) 478-0094

Other practice location 1

5979 Siggelkow Rd
Mc Farland, WI 53558-9817
Phone (608) 838-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7203-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. Roman Catholic Diocese Past Accepting new patients
Common Threads Family Resource Center Past Accepting new patients

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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1598278335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 GRAND TETON PLZ STE B3",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191056",
            "telephone_number": "608-478-0094",
            "fax_number": "608-478-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 GRAND TETON PLZ STE B3",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191056",
            "telephone_number": "608-509-7524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5979 Siggelkow Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Farland",
            "state": "WI",
            "postal_code": "535589817",
            "country_code": "US",
            "telephone_number": "608-838-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISCH",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7203-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.