Self & Others

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SELF & OTHERS

Practice address

702 N Blackhawk Ave Ste 100
Madison, WI 53705-3357

Phone

(608) 628-1307

Fax

(608) 663-5928

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Steven M Blank, LMFTNPI 1285177121

Title

Owner

Phone

(608) 628-1307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven M Blank, L.M.F.T.

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1285177121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1326720772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-628-1307",
            "fax_number": "608-663-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BLACKHAWK AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053357",
            "telephone_number": "608-628-1307",
            "fax_number": "608-663-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF & OTHERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-628-1307",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Ron Sekanick, D.C.
• Heather Rose Seldal-Gilbertson, RN
• Select Specialty Hospital - Madison Inc
• Select Specialty Hospital - Madison Inc
• Jacqueline Selemani
• Catherine Self
• Nancy Selfridge, MD
• Jane M. Seliger, NP
• Michelle Selinsky, M.S., CCC-SLP
• Hanna Selk

• Marriage & Family Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.