Patricia Anne Gillette, LPC AND LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1133125 Issued in WI

Practice address

310 North Midvale Blvd
Suite 202
Madison, WI 53527

Phone

(608) 819-7513

Fax

(608) 238-1929

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psychology Clinic Inc.

  • Clinic/Center
  • Madison, WI
  • NPI 1336222769
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750429254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 BOHNSACK LN",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279567",
            "telephone_number": "608-839-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NORTH MIDVALE BLVD",
            "address_2": "SUITE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53527",
            "telephone_number": "608-819-7513",
            "fax_number": "608-238-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "LPC AND LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1133125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43594900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Gillen
• Brittany Gilles, CAPSW
• Jessica Gillespie
• Robert Joseph Gillespie, PH.D., LMFT, LPC
• James Gillette, PT
• Haywood S Gilliam, MD
• Nora Gilman, LAT
• Kaitlin A Gilmore, NP
• Aaron Gilmour, OTR/L
• Lynn Gilpin-Parks, LPC, CRC

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.