Organization Active NPI

Winding Path Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Verona, WI
National Provider Identifier
1003488362
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WINDING PATH PSYCHOTHERAPY
Practice address
200 W Verona Ave
Verona, WI 53593-1394
Phone
(608) 354-2397
Fax
(608) 387-8365
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Johnson, LMFT
Title
Owner
Phone
(608) 354-2397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 W Verona Ave
Verona, WI 53593-1394

Mailing address

200 W Verona Ave
Verona, WI 53593-1394
Phone (608) 354-2397

Other identifiers 1

IdentifierTypeStateIssuer
100018546MedicaidWI

National Provider Directory

National Provider Directory

Locations

301 E Verona Ave
Verona, WI 53593

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1003488362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931394",
            "telephone_number": "608-354-2397",
            "fax_number": "608-387-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931394",
            "telephone_number": "608-354-2397",
            "fax_number": "608-387-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDING PATH PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-354-2397",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100018546",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.