Individual provider Active NPI

Mitchell Isaac Turner, LPC, SAC-IT

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1407251945
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7290125 Issued in WI
Practice address
313 W Beltline Hwy # 185
Madison, WI 53713-2679
Phone
(608) 960-4726
Fax
(608) 729-3774
NPI assigned
Oct 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7290125 WI Primary

Addresses

Primary practice location

313 W Beltline Hwy # 185
Madison, WI 53713-2679

Mailing address

313 W Beltline Hwy # 185
Madison, WI 53713-2679
Phone (608) 960-4726

Other identifiers 1

IdentifierTypeStateIssuer
1407251945MedicaidWI

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
I20240827000203 WI Practitioner - Mental Health Counselor 1355880071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

26422 Oakridge Dr
Suite 106
Wind Lake, WI 53185-1402
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7290125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Family Mental Balance LLC Professional CurrentSince Sep 1, 2025 Accepting new patients
Stay Focused Counseling LLC Current Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Aug 13, 2024 Accepting new patients

Locations

2923 Marketplace Dr
Ste 204
Fitchburg, WI 53719
Phone (608) 549-5781

313 W Beltline Hwy
#185
Fitchburg, WI 53713
Phone (608) 960-4726

555 Donofrio Dr
Ste 201
Madison, WI 53719
Phone (608) 820-1395

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

Organizations & group practices 3

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1407251945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W BELTLINE HWY # 185",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132679",
            "telephone_number": "608-960-4726",
            "fax_number": "608-729-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W BELTLINE HWY # 185",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132679",
            "telephone_number": "608-960-4726",
            "fax_number": "608-729-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MITCHELL",
        "middle_name": "ISAAC",
        "credential": "LPC, SAC-IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7290125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407251945",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.