Blue Feather Psychotherapy, LLC
Organization Active NPI Adult Mental Health Clinic/Center · Madison, WI
NPI 1285134262 · NPPES record last updated Feb 16, 2018
Key facts
- NPI
- 1285134262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- 2554-123 (WI)
- Legal business name
- BLUE FEATHER PSYCHOTHERAPY, LLC
- Practice address
- 2713 Atwood Ave Apt 201
Madison, WI 53704-5744 - Phone
- (608) 279-4278
- NPI assigned
- Feb 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Kathryn A Ripp, LCSW, CSAC
- Title
- Sole Proprietor
- Phone
- (608) 279-4278
Practitioners 1
-
Kathryn Ann Ripp, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180222001536 | WI | Part B Supplier - Clinic/Group Practice | 7416218029 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 2554-123 | WI | Yes |
Addresses
Primary practice location
2713 Atwood Ave Apt 201
Madison, WI 53704-5744
Mailing address
2713 Atwood Ave Apt 201
Madison, WI 53704-5744
Other providers in Madison, WI
- Margaret Claire Bloom
- Paul Stewart Bloom
- Emily Bloomfield
- Blooming Grove, Burke, Maple Bluff EMS Ambulance District
- Blossoming Wellness, LLC
- Blue River Chiropractic LLC
- Blue Sky Mental Health, SC
- Katherine Blue
- David Alan Bluemke
- Blueprint Care LLC
All providers in Madison, WI · Adult Mental Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.