Active NPI
Angeline Muriel Elmer, LPC
- Professional Counselor
- Madison, WI
National Provider Identifier
1720449168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7731-125
- Practice address
- 702 N Blackhawk Ave Ste 215
Madison, WI 53705-3357 - Phone
- (608) 233-3037
- Fax
- (608) 233-5893
- NPI assigned
- Mar 13, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7731-125 | WI | Primary |
Addresses
Primary practice location
702 N Blackhawk Ave Ste 215
Madison, WI 53705-3357
Mailing address
441 Lexington Dr
Oregon, WI 53575-3518
Phone (608) 279-3008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7731-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Psychotherapy Center, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1457827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1720449168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 LEXINGTON DR",
"city": "OREGON",
"state": "WI",
"postal_code": "535753518",
"telephone_number": "608-279-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 N BLACKHAWK AVE STE 215",
"city": "MADISON",
"state": "WI",
"postal_code": "537053357",
"telephone_number": "608-233-3037",
"fax_number": "608-233-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMER",
"first_name": "ANGELINE",
"middle_name": "MURIEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-13",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7731-125",
"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 Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.