Individual provider Active NPI

Ginger Liebmann, MS, LPC-IT

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1629752126
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7443-226 Issued in WI
Practice address
700 Ray O Vac Dr Ste 114
Madison, WI 53711-2468
Phone
(608) 514-1625
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7443-226 WI Primary

Addresses

Primary practice location

700 Ray O Vac Dr Ste 114
Madison, WI 53711-2468

Mailing address

700 Ray O Vac Dr Ste 114
Madison, WI 53711-2468
Phone (608) 514-1625

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7443-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maleck Therapy, LLC PastSince Sep 3, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1629752126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR STE 114",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112468",
            "telephone_number": "608-514-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR STE 114",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112468",
            "telephone_number": "608-514-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMANN",
        "first_name": "GINGER",
        "credential": "MS, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7443-226",
            "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 Jun 14, 2023; 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.