Organization Active NPI

Jade Counseling, LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1689333882
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JADE COUNSELING, LLC
Practice address
211 S Paterson St Ste 352
Madison, WI 53703-4501
Phone
(206) 939-0909
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Amal Othman, LCSW
Title
Owner/Sole Member
Phone
(206) 939-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

211 S Paterson St Ste 352
Madison, WI 53703-4501

Mailing address

211 S Paterson St Ste 352
Madison, WI 53703-4501
Phone (206) 939-0909

National Provider Directory

National Provider Directory

Locations

211 S Paterson St
Ste 352
Madison, WI 53703
Phone (206) 939-0909

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1689333882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S PATERSON ST STE 352",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034501",
            "telephone_number": "206-939-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S PATERSON ST STE 352",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034501",
            "telephone_number": "206-939-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-09-06",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "206-939-0909",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Sep 6, 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.