Active NPI
Madeleine C Stoelinga, MA, ATR, LPC
- Mental Health Counselor
- Madison, WI
National Provider Identifier
1922881002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5479-226
- Practice address
- 2010 Eastwood Dr Ste 102
Madison, WI 53704-5387 - Phone
- (608) 291-3676
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5479-226 | WI | Primary |
Addresses
Primary practice location
2010 Eastwood Dr Ste 102
Madison, WI 53704-5387
Mailing address
2010 Eastwood Dr Ste 102
Madison, WI 53704-5387
Phone (608) 291-3676
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5479-226 | WI | MD | Mental Health Counselor |
| 11344 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manifest Wellness, LLC | Mental Health | Current | Accepting new patients |
Locations
2010 Eastwood Dr
Ste 102
Madison, WI 53704
Phone (608) 291-3676
1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314
Organizations & group practices 1
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": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1922881002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 EASTWOOD DR STE 102",
"city": "MADISON",
"state": "WI",
"postal_code": "537045387",
"telephone_number": "608-291-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 EASTWOOD DR STE 102",
"city": "MADISON",
"state": "WI",
"postal_code": "537045387",
"telephone_number": "608-291-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOELINGA",
"first_name": "MADELEINE",
"middle_name": "C",
"credential": "MA, ATR, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "5479-226",
"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 Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.