Emily Bloomfield

Individual provider Active NPI Marriage & Family Therapist · Madison, WI

NPI 1497632665 · NPPES record last updated Aug 19, 2025

Key facts

NPI
1497632665
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1157-228 (WI)
Practice address
700 Regent St Ste 302
Madison, WI 53715-2634
Phone
(608) 406-2022
NPI assigned
Aug 19, 2025
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1157-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dane County Counseling Services SC Current
since Sep 28, 2025
Accepting new patients
Group Health Cooperative of South Central Wisconsin Past
since Aug 25, 2025
Accepting new patients

Locations

700 Regent St
Ste 302
Madison, WI 53715
Phone (608) 406-2022

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1157-228 WI Yes

Addresses

Primary practice location

700 Regent St Ste 302
Madison, WI 53715-2634

Mailing address

735 Edward St
Verona, WI 53593-8305

Other providers in Madison, WI

All providers in Madison, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.