Individual provider Active NPI

Jennifer M Warner, LPC

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1053464511
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3477 Issued in WI
Practice address
660 W Washington Ave
Suite 308
Madison, WI 53703-4704
Phone
(608) 251-6590
Fax
(608) 251-6591
NPI assigned
Jan 19, 2007
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3477 WI Primary

Addresses

Primary practice location

660 W Washington Ave
Suite 308
Madison, WI 53703-4704

Mailing address

660 W Washington Ave
Suite 308
Madison, WI 53703-4704
Phone (608) 251-6590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3477WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1053464511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE",
            "address_2": "SUITE 308",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034704",
            "telephone_number": "608-251-6590",
            "fax_number": "608-251-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE",
            "address_2": "SUITE 308",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034704",
            "telephone_number": "608-251-6590",
            "fax_number": "608-251-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "3477",
            "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 Feb 28, 2012; 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.