Organization Active NPI

Mental Health Resources

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1053586453
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL HEALTH RESOURCES
Practice address
402 Gammon PL
Suite 290
Madison, WI 53719-1045
Phone
(608) 833-9779
Fax
(608) 833-1197
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Susan Ann Brown, PH.D, APNP
Title
Director and Psychotherapist
Phone
(608) 833-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

402 Gammon PL
Suite 290
Madison, WI 53719-1045

Mailing address

402 Gammon PL
Suite 290
Madison, WI 53719-1045
Phone (608) 833-9779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1053586453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GAMMON PL",
            "address_2": "SUITE 290",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191045",
            "telephone_number": "608-833-9779",
            "fax_number": "608-833-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GAMMON PL",
            "address_2": "SUITE 290",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191045",
            "telephone_number": "608-833-9779",
            "fax_number": "608-833-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-833-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, APNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Apr 25, 2008; 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.