Individual provider Active NPI

Paige T Panzenhagen, LPC-IT

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1679308563
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8077-226 Issued in WI
Practice address
4330 Golf Ter Ste 300
Eau Claire, WI 54701-4688
Phone
(715) 214-9286
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 8077-226 WI Primary

Addresses

Primary practice location

4330 Golf Ter Ste 300
Eau Claire, WI 54701-4688

Mailing address

411 5TH Ave
Eau Claire, WI 54703-5545
Phone (920) 209-3998

Other practice location 1

4330 Golf Ter Ste 209
Eau Claire, WI 54701-4688
Phone (715) 256-7166

Other practice location 2

800 Wilson Ave Rm 330
Menomonie, WI 54751-2746
Phone (715) 256-7166

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
I20260323002713 WI Practitioner - Mental Health Counselor 3375027857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 Wilson Ave
RM 330
Menomonie, WI 54751-2746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8077-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enigma Psychological Inc. CurrentSince Mar 10, 2026 Accepting new patients
Thrive Psychological and Consulting Services LLC Professional CurrentSince Mar 10, 2026 Accepting new patients

Locations

4330 Golf Ter
Ste 209
Eau Claire, WI 54701
Phone (715) 256-7166

800 Wilson Ave
Rm 330
Menomonie, WI 54751
Phone (715) 256-7166

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1679308563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 5TH AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035545",
            "telephone_number": "920-209-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 300",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-214-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4330 Golf Ter Ste 209",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547014688",
            "country_code": "US",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Wilson Ave Rm 330",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512746",
            "country_code": "US",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANZENHAGEN",
        "first_name": "PAIGE",
        "middle_name": "T",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8077-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.