NPIMap

Organization Active NPI

Wildflower Expressive Arts Therapies LLC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1558090738
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILDFLOWER EXPRESSIVE ARTS THERAPIES LLC
Practice address
700 Rayovac Dr.
Suite 320
Madison, WI 53711-5371
Phone
(608) 520-0846
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Kelly J Toltzien, LPC, ATRNPI 1932672003
Title
Director, Owner
Phone
(608) 520-0846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Art TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 221700000X

Addresses

Primary practice location

700 Rayovac Dr.
Suite 320
Madison, WI 53711-5371

Mailing address

3600 Carncross Dr
McFarland, WI 53558-9617
Phone (608) 217-8757

Other identifiers 1

IdentifierTypeStateIssuer
1932672003OtherNPPES

National Provider Directory

National Provider Directory

Locations

700 Ray O Vac Dr
Ste 320
Madison, WI 53711
Phone (608) 520-0846

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1558090738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CARNCROSS DR",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535589617",
            "telephone_number": "608-217-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAYOVAC DR.",
            "address_2": "SUITE 320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537115371",
            "telephone_number": "608-520-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER EXPRESSIVE ARTS THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "TOLTZIEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, OWNER",
        "authorized_official_telephone_number": "608-520-0846",
        "authorized_official_credential": "LPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1932672003",
            "state": null
        }
    ],
    "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 Nov 7, 2022; 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.