Active NPI
Morgan Jean Kubicek, BA
- Case Manager/Care Coordinator
- Madison, WI
National Provider Identifier
1952908758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 208 E Olin Ave
Madison, WI 53713-1434 - Phone
- (608) 219-2840
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
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.
-
- Community/Behavioral Health Agency
- Madison, WI
- NPI 1235335498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Mental Health Center | Current | Accepting new patients |
Locations
25 Kessel Ct
Ste 105
Madison, WI 53711
Phone (608) 280-2636
208 E Olin Ave
Madison, WI 53713
Phone (608) 219-2840
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
208 E Olin Ave
Madison, WI 53713-1434
Mailing address
25 Kessel CT Ste 105
Madison, WI 53711-6227
Phone (608) 280-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2020.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1952908758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 KESSEL CT STE 105",
"city": "MADISON",
"state": "WI",
"postal_code": "537116227",
"telephone_number": "608-280-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E OLIN AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537131434",
"telephone_number": "608-219-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBICEK",
"first_name": "MORGAN",
"middle_name": "JEAN",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 5, 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.