Individual provider Active NPI

Makayla Lynn Wiegand, MS, MFT-IT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1528895026
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1107-228 Issued in WI
Practice address
8025 Excelsior Dr Ste 110
Madison, WI 53717-2902
Phone
(608) 663-6154
NPI assigned
Sep 18, 2024
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1107-228 WI Primary

Addresses

Primary practice location

8025 Excelsior Dr Ste 110
Madison, WI 53717-2902

Mailing address

15913 W County Road C
Evansville, WI 53536-9708

Other practice location 1

7633 Ganser Way Ste 200
Madison, WI 53719-2092
Phone (608) 688-3200

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1107-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Counseling Center, Inc. Mental Health CurrentSince Jul 22, 2025 Accepting new patients
The Family Center Marriage & Family Therapist Past Accepting new patients
Heart Counseling LLC PastSince Mar 31, 2024 Accepting new patients

Locations

629 River St
Ste C
Belleville, WI 53508
Phone (608) 424-9100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1528895026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15913 W COUNTY ROAD C",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535369708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR STE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172902",
            "telephone_number": "608-663-6154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7633 Ganser Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537192092",
            "country_code": "US",
            "telephone_number": "608-688-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "MAKAYLA",
        "middle_name": "LYNN",
        "credential": "MS, MFT-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1107-228",
            "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 Jan 30, 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.