Individual provider Active NPI

Molly Spaeni

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1902215841
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1236-124 Issued in WI
Practice address
740 Regent St Ste 105
Madison, WI 53715-2648
Phone
(608) 305-4221
Fax
(877) 563-5731
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 388-228 WI
Marriage & Family Therapist 106H00000X 1236-124 WI Primary

Addresses

Primary practice location

740 Regent St Ste 105
Madison, WI 53715-2648

Mailing address

740 Regent St Ste 105
Madison, WI 53715-2648
Phone (608) 305-4221

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260108000334 WI Practitioner - Marriage and Family Therapist 0749766996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Regent St
Suite 105
Madison, WI 53715-2648
Phone (608) 305-4221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
388-228WIMDMental Health Counselor
1236-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moston Legacy LLC Mental Health CurrentSince Nov 19, 2025 Accepting new patients
Community Support Network, Inc Mental Health Past Accepting new patients

Locations

740 Regent St
Ste 105
Madison, WI 53715
Phone (608) 305-4221

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1902215841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 REGENT ST STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152648",
            "telephone_number": "608-305-4221",
            "fax_number": "877-563-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 REGENT ST STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152648",
            "telephone_number": "608-305-4221",
            "fax_number": "877-563-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAENI",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "388-228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1236-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.