Kaylin Ann Shampo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1414 Macarthur Rd
Madison, WI 53714-1318

Phone

(608) 242-8335

NPI assigned

Feb 3, 2016

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Community Living Alliance

  • In Home Supportive Care Agency
  • Madison, WI
  • NPI 1922559756
  NPD (past)
• Community Living Alliance, Inc.

  • Case Management Agency
  • Madison, WI
  • NPI 1669689337
  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1326406414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8028",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537088028",
            "telephone_number": "608-242-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MACARTHUR RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141318",
            "telephone_number": "608-242-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMPO",
        "first_name": "KAYLIN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roopa K Shah, MD
• Charles Patrick Shahan, MD
• Shaun S Shaker, M.D.
• Melanie Ann Shales, PA-C
• Daniel Gregory Shalit
• Rachael Shangraw
• Sean K. Shannahan, MD
• Shannon Patterson PHD LLC
• Brian Michael Shannon, CRNA
• Eileen T Shannon, PHARM D

• Mental Health Counselor in Madison, WI
• 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 Sep 8, 2021; 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.