Individual provider Active NPI

Steven M Blank, L.M.F.T.

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1285177121
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1198 Issued in WI
Practice address
702 N Blackhawk Ave Ste 100
Madison, WI 53705-3357
Phone
(608) 663-5926
Fax
(608) 663-5928
NPI assigned
Nov 27, 2016
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 1198 WI Primary

Addresses

Primary practice location

702 N Blackhawk Ave Ste 100
Madison, WI 53705-3357

Mailing address

702 N Blackhawk Ave Ste 100
Madison, WI 53705-3357
Phone (608) 663-5926

Other practice location 1

440 Science Dr Ste 300
Madison, WI 53711-1064
Phone (608) 236-4460

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
I20240808003152 WI Practitioner - Marriage and Family Therapist 6507303427 Reassigns benefits to 2 organizations

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
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

440 Science Dr
Suite 300
Madison, WI 53711-1064
Phone (608) 236-4460

702 N Blackhawk Ave
Suite 100
Madison, WI 53705-3357
Phone (608) 663-5926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1198WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Oct 17, 2024 Accepting new patients
Self & Others Marriage & Family Therapist CurrentSince Jun 18, 2024 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

440 Science Dr
Ste 300
Madison, WI 53711
Phone (608) 233-2100

702 N Blackhawk Ave
Ste 100
Madison, WI 53705
Phone (608) 301-5601

10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.stevenblank@149809.advancedmd-direct.com

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": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1285177121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-663-5926",
            "fax_number": "608-663-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-663-5926",
            "fax_number": "608-663-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Science Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537111064",
            "country_code": "US",
            "telephone_number": "608-236-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANK",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-27",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.