Individual provider Active NPI

Kira Story

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1407584618
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
829228 Issued in WI
Practice address
1943 Winnebago St
Madison, WI 53704-5314
Phone
(608) 244-4859
Fax
(608) 244-6809
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 829228 WI Primary

Addresses

Primary practice location

1943 Winnebago St
Madison, WI 53704-5314

Mailing address

1943 Winnegago Street
Madison, WI 53704-5314
Phone (608) 244-4859

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com Health Information Exchange (HIE)

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
I20241125000213 WI Practitioner - Marriage and Family Therapist 2466987797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
829228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Song Wellness Center Current Accepting new patients
Insight Counseling & Wellness, LLC CurrentSince Sep 20, 2024 Accepting new patients

Locations

1943 Winnebago St
Madison, WI 53704
Phone (608) 244-4859

Organizations & group practices 2

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1407584618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 WINNEGAGO STREET",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045314",
            "telephone_number": "608-244-4859",
            "fax_number": "608-244-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 WINNEBAGO ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045314",
            "telephone_number": "608-244-4859",
            "fax_number": "608-244-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "KIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "829228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Hippa compliant therapy software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1943 Winnebago St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537045314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.