Melissa Mary Carole Bowe, LMFT

Individual provider Active NPI Marriage & Family Therapist · Waunakee, WI

NPI 1760973457 · NPPES record last updated Jun 12, 2026

Key facts

NPI: 1760973457
Entity type: Individual (NPI type 1)
Primary specialty: Marriage & Family Therapist 106H00000X
License: 610-228 (WI)
Practice address: 110 Baker St Ste C
Waunakee, WI 53597-2707
Phone: (608) 849-5430
NPI assigned: May 29, 2018
Sex: Female
Sole proprietor: No

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.

Psychotherapy Center of Waunakee LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Waunakee, WI · NPI 1578196168

NPD MARRIAGE & FAMILY THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
610-228	WI	MD	Marriage & Family Therapist

Practice roles

Organization	Specialty	Status	New patients
Psychotherapy Center of Waunakee LLC	Marriage & Family Therapist	Current since Jul 3, 2022	Accepting new patients

Locations

110 Baker St
Ste C
Waunakee, WI 53597
Phone (608) 849-5430

Interoperability endpoints

Direct secure messaging: lifestancehealth.melissagustavson@149809.advancedmd-direct.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Marriage & Family Therapist	106H00000X	610-228	WI	Yes

Addresses

Primary practice location

110 Baker St Ste C
Waunakee, WI 53597-2707

Mailing address

110 Baker St Ste C
Waunakee, WI 53597-2707
Phone (608) 849-5430

Other practice location 1

6333 Odana Rd
Madison, WI 53719-1170
Phone (608) 270-2511

Other providers in Waunakee, WI

Kate Beggs, LMFT
Deanna Beatrice Bennett, LPC-IT
Michael Bergemann, LPC-IT
Miryam Bernard-Donals
Shelley Boehm Mattia, M.D.
Lynn M Braun, PT
Taylor Leigh Brown, D.C.
Curtis W Bush, MD
Lilian Busse, RPH
Careconnectmd Wisconsin Professional Corporation

All providers in Waunakee, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.