Leah Bastian

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

691-228 Issued in WI

Practice address

2935 S Fish Hatchery Rd # 244
Madison, WI 53711

Phone

(608) 352-9048

NPI assigned

May 29, 2019

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1972161628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 S FISH HATCHERY RD # 244",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53711",
            "telephone_number": "608-352-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 S FISH HATCHERY RD # 244",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53711",
            "telephone_number": "608-352-9048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Ivywood Trl",
            "address_purpose": "LOCATION",
            "city": "Mc Farland",
            "state": "WI",
            "postal_code": "535589433",
            "country_code": "US",
            "telephone_number": "608-838-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "691-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagroop Singh Basraon, D.O
• Michael Bassetti
• Anna Bassuner
• Anna Basten, CCC-SLP
• Casie Bastian
• Edwin T Batchelor, DDS
• Amelia Margaret Bates, OTR/L
• Julia Ann Bates, DVM
• Terri Jo Bathke
• Martine S. Batson, CNP

• Marriage & Family Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.