Individual provider Active NPI

Olin Tate Boson, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1114657673
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1429-124 Issued in WI
Practice address
2909 Landmark PL Ste 210
Madison, WI 53713-4200
Phone
(855) 458-4966
NPI assigned
Jun 15, 2022
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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 1429-124 WI Primary

Addresses

Primary practice location

2909 Landmark PL Ste 210
Madison, WI 53713-4200

Mailing address

2909 Landmark PL Ste 210
Madison, WI 53713-4200

Other names 1

  • N/a N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228002348 WI Practitioner - Marriage and Family Therapist 4880039957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians

Practice addresses (Care Compare)

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jan 2, 2024 Accepting new patients
Healthyminds, LLC Marriage & Family Therapist CurrentSince Sep 1, 2026 Accepting new patients

Locations

1265 John Q Hammons Dr
Madison, WI 53717

2909 Landmark Pl
Ste 210
Madison, WI 53713
Phone (608) 239-8807

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1114657673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 LANDMARK PL STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 LANDMARK PL STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134200",
            "telephone_number": "855-458-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSON",
        "first_name": "OLIN",
        "middle_name": "TATE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1429-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.