Individual provider Active NPI

Elaine L. Rosenberg, LMFT

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1326332867
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1077-124 Issued in WI
Practice address
10 E Doty St Ste 507
Madison, WI 53703-3397
Phone
(805) 699-5615
Fax
(608) 251-3930
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 80617 CA
Mental Health Counselor 101YM0800X 1077-124 WI Primary

Addresses

Primary practice location

10 E Doty St Ste 507
Madison, WI 53703-3397

Mailing address

10 E Doty St Ste 507
Madison, WI 53703-3397
Phone (805) 699-5615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 20, 2024 through Mar 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1077-124WIMDMental Health Counselor
80617CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elaine Rosenberg, LMFT LLC Mental Health CurrentSince Jun 26, 2022 Accepting new patients

Locations

1920 Monroe St
Madison, WI 53711
Phone (608) 251-6060

10 E Doty St
Ste 507
Madison, WI 53703
Phone (805) 699-5615

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1326332867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E DOTY ST STE 507",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033397",
            "telephone_number": "805-699-5615",
            "fax_number": "608-251-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E DOTY ST STE 507",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033397",
            "telephone_number": "805-699-5615",
            "fax_number": "608-251-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ELAINE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80617",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1077-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.