Shadow-Lyte Jasmin Donavan, LCSW, LMT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6526-123 Issued in WI

Practice address

251 Progress Way
Waunakee, WI 53597-2520

Phone

(608) 409-3400

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

Yes

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.

• S M Backus LLC

  • Clinical Social Worker
  • Middleton, WI
  • NPI 1023987211

  Clinical, WI

  Medicare reassignment NPD Authorized official
• Four Winds Counseling LLC

  • Professional Counselor
  • Madison, WI
  • NPI 1649958091

  WI

  Medicare reassignment Care Compare group

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four Winds Counseling LLC 6 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2026.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1962057463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 FOGGY MOUNTAIN PASS",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972383",
            "telephone_number": "608-409-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 PROGRESS WAY",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972520",
            "telephone_number": "608-409-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASMIN DONAVAN",
        "first_name": "SHADOW-LYTE",
        "credential": "LCSW, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6526-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hoffman, RPH
• Jennie B Hounshell, MD
• John Henry Hurschik Jr., LMT
• David Janet
• Annemarie Barbara Jasinski
• Jennifer M. Hamilton, DDS, LLC
• Kaikal Legacies, Limited Liability Company
• Borka Kalanj
• Matthew Karls, D.D.S.
• Shari L. Karls, RN

• All providers in Waunakee, WI
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.