Individual provider Active NPI

Mary Kay Aide, M.S.

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1326339896
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
585-125 Issued in WI
Practice address
5005 University Ave
Madison, WI 53705-5439
Phone
(608) 239-1066
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 585-125 WI Primary

Addresses

Primary practice location

5005 University Ave
Madison, WI 53705-5439

Mailing address

110 Merrill Crest Dr
Madison, WI 53705-2706
Phone (608) 239-1066

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
I20240621001064 WI Practitioner - Mental Health Counselor 6608319413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four Winds Counseling LLCGroup PAC ID 1850747270, 6 clinicians

Practice addresses (Care Compare)

8500 Greenway Blvd
Suite 102
Middleton, WI 53562-4713
Phone (608) 516-1734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
585-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Four Winds Counseling LLC Professional CurrentSince Jun 17, 2024 Accepting new patients

Locations

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

8500 Greenway Blvd
Ste 102
Middleton, WI 53562
Phone (608) 516-1734

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, 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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1326339896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MERRILL CREST DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052706",
            "telephone_number": "608-239-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055439",
            "telephone_number": "608-239-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIDE",
        "first_name": "MARY KAY",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "585-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.