NPIMap

Organization Active NPI

Four Winds Counseling LLC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1649958091
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FOUR WINDS COUNSELING LLC
Practice address
437 S Yellowstone Dr Ste 219
Madison, WI 53719-1061
Phone
(608) 516-1734
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Sue Moran, LPC, CSAC, ICS
Title
Director
Phone
(608) 516-1734

Specialties & licenses 1

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

Addresses

Primary practice location

437 S Yellowstone Dr Ste 219
Madison, WI 53719-1061

Mailing address

437 S Yellowstone Dr Ste 219
Madison, WI 53719-1061
Phone (608) 516-1734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020002806 WI Part B Supplier - Clinic/Group Practice 1850747270 Receives reassigned benefits from 8 practitioners
Practice locations: Middleton, WI

National Provider Directory

National Provider Directory

Locations

437 S Yellowstone Dr
Ste 219
Madison, WI 53719
Phone (608) 200-2332

8500 Greenway Blvd
Ste 102
Middleton, WI 53562
Phone (608) 516-1734

Practitioners & affiliated clinicians

Practitioners 12

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": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1649958091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S YELLOWSTONE DR STE 219",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191061",
            "telephone_number": "608-516-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S YELLOWSTONE DR STE 219",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191061",
            "telephone_number": "608-516-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-516-1734",
        "authorized_official_credential": "LPC, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 6, 2023; 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.