Evangeline Desideria Sigwarth, LPC-IT
Individual provider Active NPI Mental Health Counselor · Ellsworth, WI
NPI 1992486716 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1992486716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7513226 (WI)
- Practice address
- 412 West Kinne Street
Ellsworth, WI 54011-0670 - Phone
- (715) 273-6862
- NPI assigned
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7513226 | WI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7513226 | WI | Yes |
Addresses
Primary practice location
412 West Kinne Street
Ellsworth, WI 54011-0670
Mailing address
PO Box 670
Ellsworth, WI 54011-0670
Phone (715) 273-6862
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All providers in Ellsworth, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.