Active NPI
Donna Marie Stewart-Martin, LPC
- Professional Counselor
- Madison, WI
National Provider Identifier
1568948974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4714-125
- Practice address
- 303 S Paterson St Ste 1a
Madison, WI 53703-4534 - Phone
- (608) 405-5111
- Fax
- (608) 554-1052
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4714-125 | WI | Primary |
Addresses
Primary practice location
303 S Paterson St Ste 1a
Madison, WI 53703-4534
Mailing address
406 Science Dr Ste 110
Madison, WI 53711-1097
Phone (608) 236-1903
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 |
|---|---|---|---|
| 4714-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1568948974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 SCIENCE DR STE 110",
"city": "MADISON",
"state": "WI",
"postal_code": "537111097",
"telephone_number": "608-236-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S PATERSON ST STE 1A",
"city": "MADISON",
"state": "WI",
"postal_code": "537034534",
"telephone_number": "608-405-5111",
"fax_number": "608-554-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART-MARTIN",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4714-125",
"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 Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.