Active NPI
Kim Rice
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
National Provider Identifier
1780009274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 805
- Practice address
- 1015 Gammon LN
Madison, WI 53719-2210 - Phone
- (608) 417-8144
- Fax
- (608) 271-3457
- NPI assigned
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 805 | WI | Primary |
| Mental Health Counselor | 101YM0800X | 3203 | WI |
Addresses
Primary practice location
1015 Gammon LN
Madison, WI 53719-2210
Mailing address
1015 Gammon LN
Madison, WI 53719-2210
Phone (608) 417-8144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3203 | WI | MD | Mental Health Counselor |
| 805 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1780009274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 GAMMON LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537192210",
"telephone_number": "608-417-8144",
"fax_number": "608-271-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 GAMMON LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537192210",
"telephone_number": "608-417-8144",
"fax_number": "608-271-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "805",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3203",
"primary": false
}
],
"identifiers": [],
"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 Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.