Active NPI
Josfina Antionette Montanez-Tyler
- Marriage & Family Therapist
- Madison, WI
National Provider Identifier
1457890022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 539-228
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 539-228 | WI | MD | Marriage & Family Therapist |
| 1266 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Counseling & Wellness, LLC | Current | Accepting new patients | |
| Journey Mental Health Center, Inc. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1447673702
-
- Case Management Agency
- Madison, WI
- NPI 1841413879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.