Active NPI
Brian L Rossi, MFT-IT
- Marriage & Family Therapist
- Madison, WI
National Provider Identifier
1538718325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 700-228
- Practice address
- 6333 Odana Rd
Madison, WI 53719-1170 - Phone
- (608) 270-2511
- NPI assigned
- Sep 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 700-228 | WI | Primary |
Addresses
Primary practice location
6333 Odana Rd
Madison, WI 53719-1170
Mailing address
800 Dunkirk Ave
Stoughton, WI 53589-2618
Phone (608) 239-0805
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700-228 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1538718325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 DUNKIRK AVE",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535892618",
"telephone_number": "608-239-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 ODANA RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191170",
"telephone_number": "608-270-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "BRIAN",
"middle_name": "L",
"credential": "MFT-IT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "700-228",
"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 Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.