Affirm Psychotherapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AFFIRM PSYCHOTHERAPY, LLC

Practice address

2800 Royal Ave Ste 202
Monona, WI 53713-1518

Phone

(608) 504-2197

Fax

(608) 340-1246

NPI assigned

Sep 26, 2024

Organization subpart

No

Name

Mrs. Megan Lynn Duckles, LMFT CSTNPI 1215272141

Title

Owner, Psychotherapist

Phone

(608) 504-2197

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan L Duckles, MS

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1215272141
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2024.

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1548088826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5791 IVANHOE CIR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116412",
            "telephone_number": "608-504-2197",
            "fax_number": "608-340-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROYAL AVE STE 202",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131518",
            "telephone_number": "608-504-2197",
            "fax_number": "608-340-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRM PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "DUCKLES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-504-2197",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT CST"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Monona, WI
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.