Elite Wellness Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELITE WELLNESS CENTER

Practice address

W156N8327 Pilgrim Rd Ste 101
Menomonee Falls, WI 53051-3776

Phone

(262) 955-7878

NPI assigned

Sep 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn G AndersonNPI 1417780636

Title

Practitioner

Phone

(262) 955-7878

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn G Anderson, PHD, DMIN, DNM, DHM

  • Naturopath
  • Menomonee Falls, WI
  • NPI 1417780636

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1760219786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 101",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-955-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 101",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-955-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 US Highway 27 Ste F",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347134001",
            "country_code": "US",
            "telephone_number": "262-955-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "262-955-7878",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Eichhorn, PT
• Michael Eis, PHD, M.D.
• Abedrazik Hashim Eisa, M.D.
• Brittany Eison, RN
• Carol Ann Idso Eling, NP
• Elizabeths Loving Care
• Ashley V Elleseg, PA-C
• Katy Ellingson, PA-C
• Sofia Rose Enea
• Tobias Enright, M.D.

• Professional Counselor in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.