Individual provider Active NPI

Ann Gile Anderson, MS LMFT SAC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1205130358
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1422124 Issued in WI
Practice address
702 N Blackhawk Ave
Madison, WI 53705-3357
Phone
(608) 238-9991
NPI assigned
Jan 4, 2011
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15368-130 WI
Mental Health Counselor 101YM0800X 1422124 WI Primary

Addresses

Primary practice location

702 N Blackhawk Ave
Madison, WI 53705-3357

Mailing address

6661 Florance Ruth LN
Sun Prairie, WI 53590-9233
Phone (608) 214-7152

Other practice location 1

1190 Prairie St
Prairie Du Sac, WI 53578-2044
Phone (608) 370-6551

Other identifiers 2

IdentifierTypeStateIssuer
15368-130OtherWISUBSTANCE ABUSE COUNSELOR
1422124OtherWILMFT

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15368-130WIMDAddiction (Substance Use Disorder) Counselor
1422124WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Clinic Inc. PastSince Mar 8, 2010 Accepting new patients
Christianson Pfau Chiropractic LLC Past Accepting new patients

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1205130358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 FLORANCE RUTH LN",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909233",
            "telephone_number": "608-214-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-238-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Prairie St",
            "address_purpose": "LOCATION",
            "city": "Prairie Du Sac",
            "state": "WI",
            "postal_code": "535782044",
            "country_code": "US",
            "telephone_number": "608-370-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANN",
        "middle_name": "GILE",
        "credential": "MS LMFT SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15368-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1422124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE COUNSELOR",
            "identifier": "15368-130",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "1422124",
            "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 Nov 4, 2025; 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.