Organization Active NPI

Olive Grove Psychotherapy, LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1467306142
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OLIVE GROVE PSYCHOTHERAPY, LLC
Practice address
6302 Odana Rd Ste 115
Madison, WI 53719-1162
Phone
(608) 957-7353
NPI assigned
Feb 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Madison Mayer, LCSWNPI 1164999272
Title
Psychotherapist / Owner
Phone
(608) 957-7353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6302 Odana Rd Ste 115
Madison, WI 53719-1162

Mailing address

6302 Odana Rd Ste 115
Madison, WI 53719-1162
Phone (608) 957-7353

National Provider Directory

National Provider Directory

Locations

6302 Odana Rd
Ste 115
Madison, WI 53719
Phone (608) 957-7353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1467306142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 ODANA RD STE 115",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191162",
            "telephone_number": "608-957-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 ODANA RD STE 115",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191162",
            "telephone_number": "608-957-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE GROVE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST / OWNER",
        "authorized_official_telephone_number": "608-957-7353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 20, 2026; 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.