NPIMap

Organization Active NPI

The M.a.D. Therapy, PLLC

  • Mental Health Counselor
  • Bettendorf, IA
National Provider Identifier
1609406941
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE M.A.D. THERAPY, PLLC
Practice address
2435 Kimberly Rd Ste 270
Bettendorf, IA 52722-3509
Phone
(563) 726-4750
Fax
(563) 396-2060
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Alexandra Skinner Walsh, MS, LMHCNPI 1770038127
Title
Owner and Mental Health Counselor
Phone
(563) 726-4750

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

2435 Kimberly Rd Ste 270
Bettendorf, IA 52722-3509

Mailing address

2435 Kimberly Rd Ste 270
Bettendorf, IA 52722-3509
Phone (563) 726-4750

National Provider Directory

National Provider Directory

Locations

2435 Kimberly Rd
Ste 270
Bettendorf, IA 52722
Phone (563) 219-7700

4620 E 53rd St
Ste 259
Davenport, IA 52807

Practitioners & affiliated clinicians

Practitioners 9

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": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1609406941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD STE 270",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "563-726-4750",
            "fax_number": "563-396-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD STE 270",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "563-726-4750",
            "fax_number": "563-396-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE M.A.D. THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "SKINNER",
        "authorized_official_title_or_position": "OWNER AND MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "563-726-4750",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.