Organization Active NPI

Monarch Behavioral Health Center LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1497380505
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MONARCH BEHAVIORAL HEALTH CENTER LLC
Practice address
4706 Cottage Grove Rd Ste 300
Madison, WI 53716-1354
Phone
(608) 381-3687
Fax
(608) 501-1211
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Ms. Lora I Hudson, LICENSED CLINICAL S
Title
Owner/Therapist
Phone
(608) 381-3687

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4706 Cottage Grove Rd Ste 300
Madison, WI 53716-1354

Mailing address

2942 N 24TH St Ste 109
Phoenix, AZ 85016-7849
Phone (608) 381-3687

Other practice location 1

2942 N 24th St Ste 109
Phoenix, AZ 85016-7849
Phone (608) 381-3687

Other identifiers 1

IdentifierTypeStateIssuer
1942602040MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lora.Hudson@monarchbhc.com Direct

National Provider Directory

National Provider Directory

Locations

2942 N 24th St
Ste 109
Phoenix, AZ 85016
Phone (608) 381-3687

4706 Cottage Grove Rd
Ste 300
Madison, WI 53716
Phone (608) 381-3687

1310 Mendota St
Ste 115
Madison, WI 53714
Phone (604) 640-4007

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": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1497380505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849",
            "telephone_number": "608-381-3687",
            "fax_number": "608-501-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 COTTAGE GROVE RD STE 300",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161354",
            "telephone_number": "608-381-3687",
            "fax_number": "608-501-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2942 N 24th St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167849",
            "country_code": "US",
            "telephone_number": "608-381-3687",
            "fax_number": "608-501-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONARCH BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "608-381-3687",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED CLINICAL S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942602040",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lora.Hudson@monarchbhc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1310 Mendota St Ste 115",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537141060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 22, 2024; 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.