| Ms Tara L Ellestad, LPC | |
|
627 Main St, Darlington, WI 53530-1395 | |
| (608) 776-4800 | |
| (608) 776-4914 |
| Full Name | Ms Tara L Ellestad |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 23 Years |
| Location | 627 Main St, Darlington, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215005798 | NPI | - | NPPES |
| 40966400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3453 (Wisconsin) | Secondary |
| 101Y00000X | Counselor | 3453 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Solutions Sc | 1254362312 | 13 |
| Entity Name | Mental Health Solutions Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548320146 PECOS PAC ID: 1254362312 Enrollment ID: O20050829000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tara L Ellestad, LPC 7633 Ganser Way Ste 204, Madison, WI 53719-2092 Ph: (608) 829-1800 | Ms Tara L Ellestad, LPC 627 Main St, Darlington, WI 53530-1395 Ph: (608) 776-4800 |
Ethan James, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 15701 County Road K, Suite 3, Darlington, WI 53530 Phone: 608-776-4949 | |
Monica Miling, MS, MFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 627 Main St, Darlington, WI 53530 Phone: 608-776-4800 Fax: 608-776-4914 | |
Darci Ann Weber, MSE,LPC-IT,SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Main St, Darlington, WI 53530 Phone: 608-776-4800 Fax: 608-776-4914 | |
Ms. Heidi A Byrnes, MA, CAPSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Main St, Darlington, WI 53530 Phone: 608-776-4800 Fax: 608-776-4914 | |
Shane A Schuhmacher, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Main St, Darlington, WI 53530 Phone: 608-776-4800 Fax: 608-776-4914 | |
Cheri L Wotnoske, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Main St, Darlington, WI 53530 Phone: 608-776-4800 Fax: 608-776-4914 |