Individual provider Active NPI

Josfina Antionette Montanez-Tyler

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1457890022
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
539-228 Issued in WI
Practice address
49 Kessel CT
Madison, WI 53711-6275
Phone
(608) 280-2649
Fax
(608) 280-2707
NPI assigned
Feb 15, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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 539-228 WI Primary

Addresses

Primary practice location

49 Kessel CT
Madison, WI 53711-6275

Mailing address

1120 Williamson St
Madison, WI 53703-3753
Phone (608) 516-6992

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
I20240611000402 WI Practitioner - Marriage and Family Therapist 2567904196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Insight Counseling and Wellness LLCGroup PAC ID 6608264742, 12 clinicians

Practice addresses (Care Compare)

1943 Winnebago St
Madison, WI 53704-5314
Phone (608) 244-4859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
539-228WIMDMarriage & Family Therapist
1266WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling & Wellness, LLC CurrentSince May 1, 2024 Accepting new patients
Journey Mental Health Center, Inc. PastSince Jul 1, 1991 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1457890022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 WILLIAMSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033753",
            "telephone_number": "608-516-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KESSEL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116275",
            "telephone_number": "608-280-2649",
            "fax_number": "608-280-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ-TYLER",
        "first_name": "JOSFINA",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "539-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.