Rainbow Marifrog, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RAINBOW MARIFROG, LLC

Practice address

2917 International LN Ste 202
Madison, WI 53704-3135

Phone

(608) 520-6207

Fax

(608) 646-7531

NPI assigned

Apr 2, 2024

Organization subpart

Yes

Parent organization

RAINBOW MARIFROG, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Rainbow Marifrog, MA, LMFTNPI 1407918329

Title

Owner, Psychotherapist

Phone

(608) 520-6207

Specialties & licenses 1

Addresses

Other names 1

• Wild Roots Healing Collective Doing business as

Part of

Rainbow Marifrog LLC

Locations

Practitioners 1

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

• Rainbow Andrea Marifrog, LMFT

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1407918329
  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1720830847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 INTERNATIONAL LN STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043135",
            "telephone_number": "608-520-6207",
            "fax_number": "608-646-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 INTERNATIONAL LN STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043135",
            "telephone_number": "608-520-6207",
            "fax_number": "608-646-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW MARIFROG, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAINBOW MARIFROG, LLC",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "MARIFROG",
        "authorized_official_first_name": "RAINBOW",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-520-6207",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Roots Healing Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Rahman
• Thomas Jay Raife, MD
• Penny L Raimer, LPC
• Trevor A Raimer
• W. Rodney Rainbolt, OPA-C
• Corinda Rainey-Moore, MS
• Vickie Sue Rains, REGISTERED NURSE
• Heather A Rainwater, M.D.
• Charles L Raison, M.D.
• Or Raizman Velasquez, MD, MPH

• Marriage & Family Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.