Individual provider Active NPI

Elijah Lake Kramer, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Richland Center, WI
National Provider Identifier
1992231203
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
18163 Issued in WI
Practice address
204 S Orange St
Richland Center, WI 53581-2170
Phone
(608) 383-1261
Fax
(608) 383-1348
NPI assigned
May 5, 2017
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18163 WI Primary

Addresses

Primary practice location

204 S Orange St
Richland Center, WI 53581-2170

Mailing address

204 S Orange St
Richland Center, WI 53581-2170
Phone (608) 475-7908

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
18163WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marty-Kramer Group, LLC Current Accepting new patients
Pine Counseling Inc. Addiction (Substance Use Disorder) CurrentSince Jan 6, 2020 Accepting new patients
Arunaobi Integrated Medical Behavioral Health Inc Past Accepting new patients

Locations

204 S Orange St
Richland Center, WI 53581
Phone (608) 383-1261

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1992231203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S ORANGE ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812170",
            "telephone_number": "608-475-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S ORANGE ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812170",
            "telephone_number": "608-383-1261",
            "fax_number": "608-383-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "ELIJAH",
        "middle_name": "LAKE",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.