Active NPI
Daniela Pincheira-Berthelon
- Social Worker
- Madison, WI
National Provider Identifier
1295351518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 301 S Blount St
Madison, WI 53703-4664 - Phone
- (608) 405-5111
- NPI assigned
- Jun 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
301 S Blount St
Madison, WI 53703-4664
Mailing address
25 Kessel CT Ste 105
Madison, WI 53711-6227
Other practice location 1
702 W Main St
Madison, WI 53715-1424
Phone (608) 280-2600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | synergos@synergoscounseling.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Madison, WI
- NPI 1629275359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1295351518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 KESSEL CT STE 105",
"city": "MADISON",
"state": "WI",
"postal_code": "537116227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S BLOUNT ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537034664",
"telephone_number": "608-405-5111"
}
],
"practiceLocations": [
{
"address_1": "702 W Main St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151424",
"country_code": "US",
"telephone_number": "608-280-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINCHEIRA-BERTHELON",
"first_name": "DANIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "synergos@synergoscounseling.com",
"affiliation": "N",
"address_1": "301 S Blount St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537034664",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.