Elizabeth Ann Light, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

776-228 Issued in WI

Practice address

629 River St
Belleville, WI 53508-9189

Phone

(608) 424-9100

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Foundations Counseling Center, Inc.

  • Clinical Social Worker
  • Belleville, WI
  • NPI 1659579928
  NPD

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1861167397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PORTER AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043828",
            "telephone_number": "330-245-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 RIVER ST",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089189",
            "telephone_number": "608-424-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "776-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makaya Kimberly King, MD
• Tina Marie Kolasa, RPH
• Ellyn Kyser, LPC
• Jillian Landeck, M.D.
• Adam Lienhop
• Jay Rene Lindner, MD
• Jennifer Elizabeth Lochner, MD
• Julia Rose Lubsen, MD
• Jay Makovec, DC
• Shea M McCue, D.D.S.

• All providers in Belleville, WI
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.