Individual provider Active NPI

Kelly A. Janes, LMFT, SAC-IT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1841744216
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1249-124 Issued in WI
Practice address
128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone
(608) 252-1320
Fax
(608) 252-1333
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18691-130 WI
Social Worker 104100000X
Marriage & Family Therapist 106H00000X 1249-124 WI Primary

Addresses

Primary practice location

128 E Olin Ave Ste 100
Madison, WI 53713-1467

Mailing address

128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone (608) 252-1320

Other practice location 1

421 W Exchange St
Freeport, IL 61032-4008
Phone (815) 599-7300

Other practice location 2

903 Mineral Point Ave
Janesville, WI 53548-2970
Phone (608) 756-5555

Other names 1

  • Kelly A. Lowy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110002221 WI Practitioner - Marriage and Family Therapist 8224489604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18691-130WIMDAddiction (Substance Use Disorder) Counselor
1249-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Janes Therapy Services, LLC Marriage & Family Therapist CurrentSince Jan 14, 2024 Accepting new patients
Family Service Madison Inc CurrentSince Jan 16, 2025 Accepting new patients
Hhu Xtra Care Inc PastSince Jan 16, 2025 Accepting new patients

Locations

128 E Olin Ave
Ste 100
Madison, WI 53713
Phone (608) 252-1320

128 E Olin Ave
Madison, WI 53713
Phone (608) 252-1320

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1841744216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1320",
            "fax_number": "608-252-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1320",
            "fax_number": "608-252-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 W Exchange St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324008",
            "country_code": "US",
            "telephone_number": "815-599-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482970",
            "country_code": "US",
            "telephone_number": "608-756-5555",
            "fax_number": "608-756-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANES",
        "first_name": "KELLY",
        "middle_name": "A.",
        "credential": "LMFT, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "18691-130",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1249-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LOWY",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.