NPIMap

Organization Active NPI

Tellurian, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monona, WI
National Provider Identifier
1043487697
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TELLURIAN, INC.
Practice address
5900 Monona Dr Ste 200
Monona, WI 53716-3561
Phone
(608) 223-3323
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Erica L Mueller
Title
Qa
Phone
(914) 316-6601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1904 WI
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5900 Monona Dr Ste 200
Monona, WI 53716-3561

Mailing address

5900 Monona Dr Ste 200
Monona, WI 53716-3561
Phone (608) 222-7311

Other practice location 1

300 Femrite Dr
Monona, WI 53716-3798
Phone (608) 222-7311

Other practice location 2

2914 Industrial Dr
Madison, WI 53713-4047
Phone (608) 223-3300

Other identifiers 1

IdentifierTypeStateIssuer
42197221MedicaidWI

Other names 1

  • Day Treatment-Madison Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Monona Direct
CONNECT URL www.tellurian.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000134 WI Part B Supplier - Clinic/Group Practice 6204925365 Receives reassigned benefits from 12 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monona, WI; Madison, WI

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tellurian Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1053 Williamson St
Madison, WI 53703
Phone (608) 258-3446

Practitioners & affiliated clinicians

Practitioners 9

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1043487697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 200",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163561",
            "telephone_number": "608-222-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 200",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163561",
            "telephone_number": "608-223-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Femrite Dr",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537163798",
            "country_code": "US",
            "telephone_number": "608-222-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2914 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537134047",
            "country_code": "US",
            "telephone_number": "608-223-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TELLURIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "QA",
        "authorized_official_telephone_number": "914-316-6601"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1904",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42197221",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Monona",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5900 Monona Dr Ste 200",
            "city": "Monona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537163561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tellurian.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.tellurian.org",
            "address_1": "5900 Monona Dr Ste 200",
            "city": "Monona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537163561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Day Treatment-Madison",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.