Individual provider Active NPI

Emma Isabella Zeldin, AMFT

  • Marriage & Family Therapist
  • Monona, WI
National Provider Identifier
1396421749
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1031228 Issued in WI
Practice address
2000 Engel St Ste 201
Monona, WI 53713-4822
Phone
(608) 455-6070
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1031228 WI Primary

Addresses

Primary practice location

2000 Engel St Ste 201
Monona, WI 53713-4822

Mailing address

2000 Engel St Ste 201
Monona, WI 53713-4822

Other practice location 1

7410 Timber Lake Trl Apt 302
Madison, WI 53719-3342
Phone (608) 695-6212

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
I20250805003496 WI Practitioner - Marriage and Family Therapist 3577071083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1031228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Counseling and Consultation LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

2000 Fordem Ave
Madison, WI 53704
Phone (608) 280-2740

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

2000 Engel St
Ste 201
Monona, WI 53713
Phone (608) 255-5135

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1396421749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ENGEL ST STE 201",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537134822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ENGEL ST STE 201",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537134822",
            "telephone_number": "608-455-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 Timber Lake Trl Apt 302",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537193342",
            "country_code": "US",
            "telephone_number": "608-695-6212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELDIN",
        "first_name": "EMMA",
        "middle_name": "ISABELLA",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1031228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.