Individual provider Active NPI

Kaitlin Rose Sherman

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1487438701
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
211 S Paterson St Ste 370
Madison, WI 53703-4501
Phone
(608) 535-1095
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

211 S Paterson St Ste 370
Madison, WI 53703-4501

Mailing address

2019 E Washington Ave Apt 3
Madison, WI 53704-6803
Phone (608) 280-1973

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
I20240905003781 WI Practitioner - Marriage and Family Therapist 6901346873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manifest Wellness LLCGroup PAC ID 5799223012, 3 clinicians

Practice addresses (Care Compare)

2010 Eastwood Dr
Suite 102
Madison, WI 53704-5387
Phone (608) 291-3676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manifest Wellness, LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Marriage and Family Focus LLC PastSince Sep 5, 2023 Accepting new patients

Locations

2010 Eastwood Dr
Ste 102
Madison, WI 53704
Phone (608) 291-3676

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1487438701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E WASHINGTON AVE APT 3",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537046803",
            "telephone_number": "608-280-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S PATERSON ST STE 370",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034501",
            "telephone_number": "608-535-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KAITLIN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.