Active NPI
Elisabeth Kathryn Pugliese, M.S.E., LPC-IT
- Mental Health Counselor
- Platteville, WI
National Provider Identifier
1801288279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2397-226
- Practice address
- 1155 N Elm St
Platteville, WI 53818-1207 - Phone
- (608) 348-4060
- NPI assigned
- Feb 23, 2015
- 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 | 2397-226 | WI | Primary |
Addresses
Primary practice location
1155 N Elm St
Platteville, WI 53818-1207
Mailing address
PO Box 36
Platteville, WI 53818-0036
Phone (608) 348-4060
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 |
|---|---|---|---|
| 2397-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agrace Hospicecare, Incorporated | Past | Accepting new patients | |
| Platteville Family Resource Center Inc | Past | Accepting new patients | |
| Platteville Family Resource Center | Past | Accepting new patients | |
| Dean Health Systems, Inc, | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1104207497
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1477661692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1801288279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538180036",
"telephone_number": "608-348-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N ELM ST",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538181207",
"telephone_number": "608-348-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLIESE",
"first_name": "ELISABETH",
"middle_name": "KATHRYN",
"credential": "M.S.E., LPC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2397-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.