Organization Active NPI

Counseling Associates of Madison, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
National Provider Identifier
1922014414
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1251 Issued in WI
Legal business name
COUNSELING ASSOCIATES OF MADISON, S.C.
Practice address
715 Hill Street
Suite 140
Madison, WI 53705-3517
Phone
(608) 233-3000
Fax
(608) 233-3834
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bernard V Verrill, PH.D.
Title
Owner/Clinical Psychologist
Phone
(608) 233-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1251 WI Primary

Addresses

Primary practice location

715 Hill Street
Suite 140
Madison, WI 53705-3517

Mailing address

715 Hill Street
Suite 140
Madison, WI 53705-3517
Phone (608) 233-3000

National Provider Directory

National Provider Directory

Locations

715 Hill St
Ste 140
Madison, WI 53705
Phone (608) 233-3000

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922014414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HILL STREET",
            "address_2": "SUITE 140",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053517",
            "telephone_number": "608-233-3000",
            "fax_number": "608-233-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILL STREET",
            "address_2": "SUITE 140",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053517",
            "telephone_number": "608-233-3000",
            "fax_number": "608-233-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF MADISON, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERRILL",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "608-233-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.