Individual provider Active NPI

Deborah Sue Marks, LMFT

  • Marriage & Family Therapist
  • Monona, WI
National Provider Identifier
1396823548
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
567124 Issued in WI
Practice address
1532 W Broadway Ste 201
Monona, WI 53713-1828
Phone
(608) 223-1506
Fax
(608) 223-1745
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 567124 WI Primary

Addresses

Primary practice location

1532 W Broadway Ste 201
Monona, WI 53713-1828

Mailing address

1532 W Broadway Ste 201
Monona, WI 53713-1828
Phone (608) 223-1506

Other identifiers 1

IdentifierTypeStateIssuer
43552700MedicaidWI

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
I20240815003260 WI Practitioner - Marriage and Family Therapist 9931424751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Living Well Counseling Services LLCGroup PAC ID 6305931973, 2 clinicians

Practice addresses (Care Compare)

1532 W Broadway
Suite 201
Madison, WI 53713-1828
Phone (608) 223-1506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
567124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Counseling Services LLC Marriage & Family Therapist CurrentSince Mar 17, 2004 Accepting new patients

Locations

4915 Monona Dr
Ste 305
Monona, WI 53716
Phone (608) 223-1506

1532 W Broadway
Ste 201
Monona, WI 53713
Phone (608) 223-1506

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1396823548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 201",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-223-1506",
            "fax_number": "608-223-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 201",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-223-1506",
            "fax_number": "608-223-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "DEBORAH",
        "middle_name": "SUE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "567124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43552700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.