NPIMap

Organization Active NPI

Triquestrian, LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1316580418
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRIQUESTRIAN, LLC
Doing business as
Triquestrian, LLC
Practice address
6410 Enterprise LN Ste 210
Madison, WI 53719-1143
Phone
(608) 400-3672
Fax
(608) 422-4006
NPI assigned
Oct 21, 2019
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Tami Ra Bahr, LCSW, CSAC, ICSNPI 1568594372
Title
Owner/Director
Phone
(608) 206-4724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6410 Enterprise LN Ste 210
Madison, WI 53719-1143

Mailing address

1408 Ashburn Way
Verona, WI 53593-2263
Phone (608) 206-4724

Other practice location 1

996 Storytown Rd
Brooklyn, WI 53521-9456
Phone (608) 206-4724

Other names 1

  • Triquestrian, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250822000643 WI Part B Supplier - Clinic/Group Practice 9931609120 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

6410 Enterprise Ln
Ste 210
Madison, WI 53719
Phone (608) 400-3672

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1316580418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 ASHBURN WAY",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535932263",
            "telephone_number": "608-206-4724",
            "fax_number": "608-422-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ENTERPRISE LN STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191143",
            "telephone_number": "608-400-3672",
            "fax_number": "608-422-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "996 Storytown Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "WI",
            "postal_code": "535219456",
            "country_code": "US",
            "telephone_number": "608-206-4724",
            "fax_number": "608-422-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIQUESTRIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "RA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "608-206-4724",
        "authorized_official_credential": "LCSW, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triquestrian, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triquestrian, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.