Wisconsin Psychotherapy and Healing Center, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2000 Issued in WI

Legal business name

WISCONSIN PSYCHOTHERAPY AND HEALING CENTER, INC.

Practice address

6401 Odana Rd Ste 13
Madison, WI 53719-1126

Phone

(608) 288-8022

Fax

(608) 288-8977

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Jolien Connor, PHD

Title

Billing Manager

Phone

(202) 641-3750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1134201593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 ODANA RD STE 13",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191126",
            "telephone_number": "608-288-8022",
            "fax_number": "608-288-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 ODANA RD STE 13",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191126",
            "telephone_number": "608-288-8022",
            "fax_number": "608-288-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN PSYCHOTHERAPY AND HEALING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "JOLIEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "202-641-3750",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.