Organization Active NPI

Be Grounded Yoga LLC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1386357663
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BE GROUNDED YOGA LLC
Doing business as
Be Grounded Mental Health
Practice address
6601 Grand Teton PLZ Ste B3
Madison, WI 53719-1056
Phone
(608) 535-6383
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Julia Smith, LMFTNPI 1861516189
Title
Owner
Phone
(608) 445-6697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6601 Grand Teton PLZ Ste B3
Madison, WI 53719-1056

Mailing address

5796 County Road a
Oregon, WI 53575-2669
Phone (608) 445-6697

Other identifiers 1

IdentifierTypeStateIssuer
43701500MedicaidWI

Other names 1

  • Be Grounded Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

6601 Grand Teton Plz
Ste B3
Madison, WI 53719
Phone (608) 332-6360

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1386357663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5796 COUNTY ROAD A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752669",
            "telephone_number": "608-445-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 GRAND TETON PLZ STE B3",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191056",
            "telephone_number": "608-535-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE GROUNDED YOGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-445-6697",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43701500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Grounded Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Be Grounded Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 9, 2024; 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.