NPIMap

Organization Active NPI

Living Well Counseling Services LLC

  • Mental Health Counselor
  • Monona, WI
National Provider Identifier
1619042199
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVING WELL COUNSELING SERVICES LLC
Practice address
1532 W Broadway Ste 201
Monona, WI 53713-1828
Phone
(608) 223-1506
Fax
(608) 223-1745
NPI assigned
Nov 21, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Deborah Sue Marks, LMFTNPI 1396823548
Title
Clinic Director
Phone
(608) 223-1506

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 Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

1532 W Broadway Ste 201
Monona, WI 53713-1828

Mailing address

1532 W Broadway Ste 201
Monona, WI 53713-1828
Phone (608) 223-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000913 WI Part B Supplier - Clinic/Group Practice 6305931973 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

1532 W Broadway
Ste 201
Monona, WI 53713
Phone (608) 223-1506

4915 Monona Dr
Ste 305
Monona, WI 53716
Phone (608) 223-1506

6117 Monona Dr
Ste 1
Monona, WI 53716
Phone 6082231506 ext. 5

6400 Gisholt Dr
Ste 203
Monona, WI 53713
Phone (608) 223-1506

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1619042199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 201",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-223-1506",
            "fax_number": "608-223-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 W BROADWAY STE 201",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131828",
            "telephone_number": "608-223-1506",
            "fax_number": "608-223-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "608-223-1506",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.