Individual provider Active NPI

Joy Marie Kiesch, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1831587658
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8278 Issued in WI
Practice address
2829 Royal Ave
Madison, WI 53713
Phone
(608) 661-2829
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8278 WI Primary

Addresses

Primary practice location

2829 Royal Ave
Madison, WI 53713

Mailing address

1705 National Ave
Madison, WI 53716-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8278WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Vibes Counseling Center Clinical CurrentSince Aug 18, 2019 Accepting new patients
Miami Vibes Counseling Center LLC Clinical CurrentSince Aug 14, 2022 Accepting new patients
Lake City Counseling, LLC Past Accepting new patients

Locations

2915 Biscayne Blvd
Ste 3004
Miami, FL 33137
Phone (786) 398-4747

303 S Paterson St
Ste 1A
Madison, WI 53703
Phone (608) 571-0558

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1831587658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 NATIONAL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 ROYAL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "608-661-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESCH",
        "first_name": "JOY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.