Individual provider Active NPI

Katie Lyn Ross-McGinnis, MA

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1720868482
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11657-125
Practice address
1630 Wyoming Way
Madison, WI 53704-1840
Phone
(608) 279-6315
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11657-125 Primary

Addresses

Primary practice location

1630 Wyoming Way
Madison, WI 53704-1840

Mailing address

1630 Wyoming Way
Madison, WI 53704-1840
Phone (608) 279-6315

Other practice location 1

W5539 County Road G
Rio, WI 53960-9224
Phone (608) 279-6315

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
I20251223003227 WI Practitioner - Mental Health Counselor 1456846773 Practice locations: Madison, WI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Madison, WI 53704
Phone (608) 279-6315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Center, LLC PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1720868482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WYOMING WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041840",
            "telephone_number": "608-279-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WYOMING WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041840",
            "telephone_number": "608-279-6315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W5539 County Road G",
            "address_purpose": "LOCATION",
            "city": "Rio",
            "state": "WI",
            "postal_code": "539609224",
            "country_code": "US",
            "telephone_number": "608-279-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS-MCGINNIS",
        "first_name": "KATIE",
        "middle_name": "LYN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "11657-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.