Healthcare Provider Details

I. General information

NPI: 1104252121
Provider Name (Legal Business Name): HANNAH ELIZABETH EPISCOPO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W6240 COMMUNICATION CT STE 200
APPLETON WI
54914-8549
US

IV. Provider business mailing address

N1319 WESTGREEN DR
GREENVILLE WI
54942-9685
US

V. Phone/Fax

Practice location:
  • Phone: 920-364-0747
  • Fax:
Mailing address:
  • Phone: 920-809-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5719-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: