Individual provider Active NPI

Danyelle Ronke Okesanjo, APSW

  • Clinical Social Worker
  • Monona, WI
National Provider Identifier
1063903680
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129731-121 Issued in WI
Practice address
1955 W Broadway
Monona, WI 53713-3700
Phone
(608) 285-9101
Fax
(608) 467-9635
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 129731-121 WI
Clinical Social Worker 1041C0700X 129731-121 WI Primary

Addresses

Primary practice location

1955 W Broadway
Monona, WI 53713-3700

Mailing address

1955 W Broadway
Monona, WI 53713-3700
Phone (608) 285-9101

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
129731-121WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling & Wellness, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1063903680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W BROADWAY",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537133700",
            "telephone_number": "608-285-9101",
            "fax_number": "608-467-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W BROADWAY",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537133700",
            "telephone_number": "608-285-9101",
            "fax_number": "608-467-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKESANJO",
        "first_name": "DANYELLE",
        "middle_name": "RONKE",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "129731-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "129731-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2018; 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.