Organization Active NPI

Reflections Mental Health LLC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1720623226
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REFLECTIONS MENTAL HEALTH LLC
Practice address
2802 Coho St Ste 203
Madison, WI 53713-4521
Phone
(608) 436-0921
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Rebecca Mahan-Strupp, LPCNPI 1538584016
Title
Partner
Phone
(608) 436-0921

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2802 Coho St Ste 203
Madison, WI 53713-4521

Mailing address

11618 N Maple Beach Dr
Edgerton, WI 53534-9078
Phone (608) 436-0921

Other identifiers 2

IdentifierTypeStateIssuer
1538584016OtherNPI
1164973160OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210910000101 WI Part B Supplier - Clinic/Group Practice 3375949761 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

2802 Coho St
Ste 203
Madison, WI 53713
Phone (608) 291-7033

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1720623226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 N MAPLE BEACH DR",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535349078",
            "telephone_number": "608-436-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 COHO ST STE 203",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134521",
            "telephone_number": "608-436-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "MAHAN-STRUPP",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "608-436-0921",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538584016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164973160",
            "state": null
        }
    ],
    "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 Nov 8, 2019; 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.