Organization Active NPI

Inner Knowledge Therapy Services, LLC

  • Adult Mental Health Clinic/Center
  • Madison, WI
National Provider Identifier
1063218394
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INNER KNOWLEDGE THERAPY SERVICES, LLC
Practice address
1810 Golden Oak LN
Madison, WI 53711-3311
Phone
(608) 896-3654
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Mia Simone Marquis, LMFTNPI 1831105410
Title
Therapist
Phone
(608) 896-3654

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1810 Golden Oak LN
Madison, WI 53711-3311

Mailing address

1810 Golden Oak LN
Madison, WI 53711-3311
Phone (608) 896-3654

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1063218394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 GOLDEN OAK LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113311",
            "telephone_number": "608-896-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 GOLDEN OAK LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113311",
            "telephone_number": "608-896-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER KNOWLEDGE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "608-896-3654",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult 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 Feb 19, 2025; 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.