Individual provider Active NPI

Jessica Ann Taapken Klabough, MFT

  • Marriage & Family Therapist
  • Middleton, WI
National Provider Identifier
1144938267
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
6300 University Ave Ste 125
Middleton, WI 53562-3486
Phone
(608) 237-8000
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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 Primary

Addresses

Primary practice location

6300 University Ave Ste 125
Middleton, WI 53562-3486

Mailing address

5301 McKenna Rd
Monona, WI 53716-3040
Phone (608) 235-5015

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
I20241014000154 WI Practitioner - Marriage and Family Therapist 6305378506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPst Management CorporationGroup PAC ID 4880660778, 8 clinicians

Practice addresses (Care Compare)

6300 University Ave
Suite 125
Middleton, WI 53562-3486
Phone (608) 237-8000

901 Deming Way
Suite 302
Madison, WI 53717-1979
Phone (608) 310-5470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McPst Management Corporation CurrentSince Oct 1, 2024 Accepting new patients

Locations

901 Deming Way
Ste 302
Madison, WI 53717

6300 University Ave
Ste 125
Middleton, WI 53562
Phone (608) 237-8000

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1144938267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 MCKENNA RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163040",
            "telephone_number": "608-235-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 UNIVERSITY AVE STE 125",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623486",
            "telephone_number": "608-237-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLABOUGH",
        "first_name": "JESSICA",
        "middle_name": "ANN TAAPKEN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.