Individual provider Active NPI

Anushka Rusira Fonseka, LPC, NCC

  • Professional Counselor
  • Menomonee Falls, WI
National Provider Identifier
1831816990
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10104-125 Issued in WI
Practice address
W156N8327 Pilgrim Rd Ste 300
Menomonee Falls, WI 53051-3776
Phone
(262) 251-1112
Fax
(262) 251-1113
NPI assigned
Oct 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 10104-125 WI Primary

Addresses

Primary practice location

W156N8327 Pilgrim Rd Ste 300
Menomonee Falls, WI 53051-3776

Mailing address

2314 N Grandview Blvd Ste 202
Waukesha, WI 53188-1675
Phone (262) 251-1112

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

LicenseStateTypeSpecialty
10104-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1831816990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 N GRANDVIEW BLVD STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881675",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 300",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSEKA",
        "first_name": "ANUSHKA",
        "middle_name": "RUSIRA",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10104-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.