Individual provider Active NPI

Ellyn Hunter, M.A.

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1346318276
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
419-124 Issued in WI
Practice address
437 S. Yellowstone Dr.
Suite 209
Madison, WI 53719-1061
Phone
(608) 219-9561
Fax
(608) 630-8210
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1290-125 WI
Marriage & Family Therapist 106H00000X 419-124 WI Primary

Addresses

Primary practice location

437 S. Yellowstone Dr.
Suite 209
Madison, WI 53719-1061

Mailing address

437 S. Yellowstone Dr.
Suite 209
Madison, WI 53719-1061
Phone (608) 219-9561

Other identifiers 1

IdentifierTypeStateIssuer
39660700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1290-125WIMDProfessional Counselor
419-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Psychotherapy Services, LLC Marriage & Family Therapist Past Accepting new patients

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1346318276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S. YELLOWSTONE DR.",
            "address_2": "SUITE 209",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191061",
            "telephone_number": "608-219-9561",
            "fax_number": "608-630-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S. YELLOWSTONE DR.",
            "address_2": "SUITE 209",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191061",
            "telephone_number": "608-219-9561",
            "fax_number": "608-630-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "ELLYN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1290-125",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "419-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39660700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 19, 2012; 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.