Active NPI
Maria Catherine Hackbarth, LMFT
- Marriage & Family Therapist
- Fitchburg, WI
National Provider Identifier
1194150128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 840-124
- Practice address
- 2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711-5809 - Phone
- (608) 224-9365
- NPI assigned
- Sep 10, 2013
- 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 | 840-124 | WI | Primary |
Addresses
Primary practice location
2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711-5809
Mailing address
1326 Ashburn Way
Verona, WI 53593-2261
Phone (608) 224-9365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 840-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1194150128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 ASHBURN WAY",
"city": "VERONA",
"state": "WI",
"postal_code": "535932261",
"telephone_number": "608-224-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 YARMOUTH GREENWAY DR STE 2",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115809",
"telephone_number": "608-224-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKBARTH",
"first_name": "MARIA",
"middle_name": "CATHERINE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "840-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.