Active NPI
Madeline Taylor
- Mental Health Counselor
- Kimberly, WI
National Provider Identifier
1821805904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12314-125
- Practice address
- 1119 W Kennedy Ave Ste a
Kimberly, WI 54136-2213 - Phone
- (920) 336-8960
- NPI assigned
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kimberly, WI
- NPI 1063721017
-
- Adolescent and Children Mental Health Clinic/Center
- Kimberly, WI
- NPI 1225155393
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Counseling & Guidance Clinic | Current |
Accepting new patients | |
| Northwest Counseling & Guidance Clinic | Current |
Accepting new patients |
Locations
1119 W Kennedy Ave
Ste A
Kimberly, WI 54136
Phone (920) 336-8960
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12314-125 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1119 W Kennedy Ave Ste a
Kimberly, WI 54136-2213
Mailing address
PO Box 309
Siren, WI 54872-0309
Phone (715) 327-7112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2026.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1821805904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "SIREN",
"state": "WI",
"postal_code": "548720309",
"telephone_number": "715-327-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 W KENNEDY AVE STE A",
"city": "KIMBERLY",
"state": "WI",
"postal_code": "541362213",
"telephone_number": "920-336-8960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MADELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-12",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "12314-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kimberly, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.