Active NPI
Vanessa Sovine, LMFT
- Marriage & Family Therapist
- Madison, WI
National Provider Identifier
1093036345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 881-124
- Practice address
- 6001 Research Park Blvd
Madison, WI 53719-1176 - Phone
- (608) 263-6100
- Fax
- (608) 262-9246
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 881-124 | WI | Primary |
Addresses
Primary practice location
6001 Research Park Blvd
Madison, WI 53719-1176
Mailing address
6301 Offshore Drive
Madison, WI 53705-4386
Phone (612) 201-7732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 881-124 | Other | WI | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 881-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1093036345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 OFFSHORE DRIVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537054386",
"telephone_number": "612-201-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 RESEARCH PARK BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191176",
"telephone_number": "608-263-6100",
"fax_number": "608-262-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOVINE",
"first_name": "VANESSA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "881-124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "881-124",
"state": "WI"
}
],
"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, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.