Individual provider Active NPI

Chantal Mitchell, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1265946701
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
7633 Ganser Way Ste 204
Madison, WI 53719-2092
Phone
(608) 829-1800
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

7633 Ganser Way Ste 204
Madison, WI 53719-2092

Mailing address

10202 Rustling Birch Rd Apt 205
Verona, WI 53593-5137

Other practice location 1

6400 Gisholt Dr
Monona, WI 53713-4835
Phone (608) 285-9101

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
I20240508000094 WI Practitioner - Marriage and Family Therapist 1456702372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Solutions SCGroup PAC ID 1254362312, 15 clinicians

Practice addresses (Care Compare)

7633 Ganser Way
Suite 204
Madison, WI 53719-2092
Phone (608) 829-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Solutions, S.C. CurrentSince Mar 18, 2024 Accepting new patients
Mental Health Solutions SC PastSince Dec 6, 2020 Accepting new patients

Locations

7633 Ganser Way
Ste 204
Madison, WI 53719
Phone (608) 829-1800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1265946701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 RUSTLING BIRCH RD APT 205",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535935137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 GANSER WAY STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192092",
            "telephone_number": "608-829-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Gisholt Dr",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537134835",
            "country_code": "US",
            "telephone_number": "608-285-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHANTAL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.