Individual provider Active NPI

Jamal Adams, MS, LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1417586017
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4594-226 Issued in WI
Practice address
128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone
(608) 252-1320
Fax
(608) 252-1333
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4594-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamal Adams Licensed Professional Clinical Counselor Inc Professional Current Accepting new patients
Family Service Madison Inc PastSince Apr 17, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4594-226 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

128 E Olin Ave Ste 100
Madison, WI 53713-1467

Mailing address

128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone (608) 252-1320

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
8541-125OtherWIWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
4594-226OtherWIWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2022.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1417586017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1320",
            "fax_number": "608-252-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1320",
            "fax_number": "608-252-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JAMAL",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4594-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "8541-125",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "4594-226",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 25, 2022; 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.