Organization Active NPI

Northstar Partnership

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1932279593
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1685 Issued in WI
Legal business name
NORTHSTAR PARTNERSHIP
Practice address
700 Ray O Vac Dr Ste 10
Madison, WI 53711-2480
Phone
(608) 270-1960
Fax
(608) 270-1965
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Heather Patti
Title
Office Manager
Phone
(608) 270-1960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1685 WI Primary

Addresses

Primary practice location

700 Ray O Vac Dr Ste 10
Madison, WI 53711-2480

Mailing address

700 Ray O Vac Dr Ste 10
Madison, WI 53711-2480
Phone (608) 270-1960

Other identifiers 1

IdentifierTypeStateIssuer
42209900MedicaidWI

National Provider Directory

National Provider Directory

Locations

700 Ray O Vac Dr
Ste 10
Madison, WI 53711
Phone (608) 270-1960

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1932279593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR STE 10",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112480",
            "telephone_number": "608-270-1960",
            "fax_number": "608-270-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAY O VAC DR STE 10",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112480",
            "telephone_number": "608-270-1960",
            "fax_number": "608-270-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "PATTI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-270-1960"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42209900",
            "state": "WI"
        }
    ],
    "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 Jun 4, 2013; 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.