Jennifer L Mastick, LPC, ATR

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6649-125 Issued in WI

Practice address

1414 Macarthur Rd
Madison, WI 53714-1318

Phone

(608) 242-8334

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer M Budell Former name

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

Medicare enrollment (NPD)

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.

• Insight Counseling & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1447673702
  Medicare reassignment
• Community Living Alliance

  • In Home Supportive Care Agency
  • Madison, WI
  • NPI 1922559756
  NPD (past)
• Community Living Alliance, Inc.

  • Case Management Agency
  • Madison, WI
  • NPI 1669689337
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1790333243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MACARTHUR RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141318",
            "telephone_number": "608-242-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MACARTHUR RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141318",
            "telephone_number": "608-242-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTICK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "6649-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUDELL",
            "middle_name": "M",
            "credential": "LPC, ATR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Hardy Massing, PA-C
• Rebecca S Massmann
• Michelle Masson, FNP
• Robert Massop, D.O.
• Shayan Massoumi, MD
• Aimee K Mastrangelo, PA
• Beril Mat, MD
• Matc Dental Hygiene Clinic
• Denise M Matel-Anderson, NP
• Milen Matev

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.