Active NPI
Monarch Behavioral Health Center LLC
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1497380505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942602040 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lora.Hudson@monarchbhc.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Madison, WI
- NPI 1922718238
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.