Individual provider Active NPI

Kerry E McGrath, LPCT, SACT

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1710281050
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16149-130 Issued in WI
Practice address
25 Kessel CT
Suite 200
Madison, WI 53711-0000
Phone
(608) 278-8200
Fax
(608) 278-8204
NPI assigned
Dec 30, 2010
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16149-130 WI Primary
Professional Counselor 101YP2500X 926-226 WI

Addresses

Primary practice location

25 Kessel CT
Suite 200
Madison, WI 53711-0000

Mailing address

2640 E Johnson St Apt 2
Madison, WI 53704-5005
Phone (608) 222-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031004139 WI Practitioner - Mental Health Counselor 6204325814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wildwood Family Clinic SCGroup PAC ID 9537137484, 27 clinicians

Practice addresses (Care Compare)

4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16149-130WIMDAddiction (Substance Use Disorder) Counselor
926-226WIMDProfessional Counselor
4910WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Family Clinic, SC Current Accepting new patients
Wildwood Family Clinic, SC CurrentSince Nov 1, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc Past Accepting new patients

Locations

251 E Cottage Grove Rd
Cottage Grove, WI 53527
Phone (608) 839-3515

4901 Cottage Grove Rd
Madison, WI 53716
Phone (608) 221-1501

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1710281050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E JOHNSON ST APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045005",
            "telephone_number": "608-222-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KESSEL CT",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537110000",
            "telephone_number": "608-278-8200",
            "fax_number": "608-278-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "KERRY",
        "middle_name": "E",
        "credential": "LPCT, SACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16149-130",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "926-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.