Organization Active NPI

Golden Mend Wellness and Counseling

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1013537836
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GOLDEN MEND WELLNESS AND COUNSELING
Practice address
122 E Olin Ave Ste 220
Madison, WI 53713-1482
Phone
(608) 729-8696
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Jessica Grantman, LCSWNPI 1689301863
Title
Owner
Phone
(608) 729-8696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

122 E Olin Ave Ste 220
Madison, WI 53713-1482

Mailing address

2560 New Town Dr Apt 310
Sun Prairie, WI 53590-7082
Phone (608) 217-1262

National Provider Directory

National Provider Directory

Locations

2809 Fish Hatchery Rd
Ste 202
Fitchburg, WI 53713

122 E Olin Ave
Ste 220
Madison, WI 53713
Phone (608) 255-9119

Practitioners & affiliated clinicians

Practitioners 1

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": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1013537836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NEW TOWN DR APT 310",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535907082",
            "telephone_number": "608-217-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E OLIN AVE STE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131482",
            "telephone_number": "608-729-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEND WELLNESS AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "GRANTMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-729-8696",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.