Active NPI
Elizabeth Disch, LPC
- Mental Health Counselor
- Madison, WI
National Provider Identifier
1598278335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7203-125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7203-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- MC Farland, WI
- NPI 1962752402
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1386808384
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.