Individual provider Active NPI

Jolin Mitchel, LPC, CRC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1982236741
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7104 Issued in WI
Practice address
437 S Yellowstone Dr Ste 219
Madison, WI 53719-1061
Phone
(608) 251-4164
NPI assigned
Feb 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7104 WI
Rehabilitation Counselor 225C00000X 111708
Professional Counselor 101YP2500X 7104 WI Primary

Addresses

Primary practice location

437 S Yellowstone Dr Ste 219
Madison, WI 53719-1061

Mailing address

421 Luster Ave
Madison, WI 53704-1515
Phone (608) 251-4164

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416001415 WI Practitioner - Mental Health Counselor 2163861774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Winds Counseling LLCGroup PAC ID 1850747270, 6 clinicians

Practice addresses (Care Compare)

8500 Greenway Blvd
Suite 102
Middleton, WI 53562-4713
Phone (608) 516-1734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Four Winds Counseling LLC Professional CurrentSince Mar 3, 2024 Accepting new patients

Locations

437 S Yellowstone Dr
Ste 219
Madison, WI 53719
Phone (608) 200-2332

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

8500 Greenway Blvd
Ste 102
Middleton, WI 53562
Phone (608) 516-1734

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1982236741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 LUSTER AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041515",
            "telephone_number": "608-251-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S YELLOWSTONE DR STE 219",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191061",
            "telephone_number": "608-251-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "JOLIN",
        "credential": "LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7104",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "111708",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.