Organization Active NPI

Saris Counseling

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1659731073
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5873125 Issued in WI
Legal business name
SARIS COUNSELING
Doing business as
Evolve
Practice address
3416 N Association Dr
Appleton, WI 54914-1479
Phone
(920) 364-9078
Fax
(920) 243-1792
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1659731073",
    "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": "2016-02-26",
        "last_updated": "2016-02-26",
        "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": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5873125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 2016; 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.