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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY IRENE TELISAK LPC
NPI 1205069499
Counselor - Professional in Eau Claire, WI

Active since September 03, 2009
4330 GOLF TER STE 214, EAU CLAIRE, WI 54701(715) 255-0664(715) 598-6072 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Oct 19, 2021 (2 updates tracked since 2021).

About Mary Irene Telisak Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY IRENE TELISAK LPC (NPI 1205069499) is an individual professional provider in Eau Claire, Wisconsin, licensed in Wisconsin (8076-125) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1205069499
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY IRENE TELISAKCredential: LPC
Location Address4330 GOLF TER STE 214Eau Claire, WI 54701-4688
Mailing Address4330 Golf Ter Ste 214Eau Claire, WI 54701-4688 · (715) 255-0664 · Fax (715) 598-6072
Phone(715) 255-0664
Fax(715) 598-6072
Sole ProprietorNo
Enumeration DateSeptember 3, 2009
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1205069499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8076-125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 076646 (IA)
4330 GOLF TER STE 214, Eau Claire, WI 54701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLEARWATER COUNSELING AND PERSONAL GROWTH CENTER, INC.
Counselor (Mental Health)
4330 GOLF TER STE 214
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-4060
JANICE SUSAN O'CONNOR M.S.W., L.C.S.W.
Counselor (Mental Health)
4330 GOLF TER STE 214
EAU CLAIRE, WI 54701
Eau Claire County (715) 832-4060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Telisak's NPI number?

The NPI number for Mary Telisak is 1205069499. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Mary Telisak located?

Mary Telisak practices at 4330 Golf Ter Ste 214, Eau Claire, WI 54701. The listed phone number is (715) 255-0664.

What is Mary Telisak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Mary Telisak accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Mary Telisak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Telisak was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.