Individual provider Active NPI

Kristen Pesature, LPC-IT

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1992506406
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8343226 Issued in WI
Practice address
106 W Seeboth Street
Unit 101
Milwaukee, WI 53204-4322
Phone
(414) 378-5379
Fax
(844) 508-7592
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 8343226 WI Primary

Addresses

Primary practice location

106 W Seeboth Street
Unit 101
Milwaukee, WI 53204-4322

Mailing address

106 W. Seeboth Street
Unit 101
Milwaukee, WI 53204-4322
Phone (414) 520-7880

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
8343226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elle Studio & Wellness LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

106 W Seeboth St
Ste 101
Milwaukee, WI 53204
Phone (414) 378-5379

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1992506406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W. SEEBOTH STREET",
            "address_2": "UNIT 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532044322",
            "telephone_number": "414-520-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W SEEBOTH STREET",
            "address_2": "UNIT 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532044322",
            "telephone_number": "414-378-5379",
            "fax_number": "844-508-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESATURE",
        "first_name": "KRISTEN",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8343226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.