Center Stage Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CENTER STAGE THERAPY

Practice address

702 N Blackhawk Ave Ste 205
Madison, WI 53705-3357

Phone

(608) 301-5090

Fax

(888) 783-3165

NPI assigned

Oct 22, 2025

Organization subpart

No

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

Authorized official

Name

Jody Reiss, MS, LMFT

Title

Owner

Phone

(608) 301-5090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1306713409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 VAN HISE AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053849",
            "fax_number": "888-783-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE STE 205",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-301-5090",
            "fax_number": "888-783-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-301-5090",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.