Individual provider Active NPI

Golshan Motamedi, MS LMFT

  • Marriage & Family Therapist
  • Fitchburg, WI
National Provider Identifier
1982341640
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2011-124 Issued in WI
Practice address
2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711-5809
Phone
(608) 301-5570
NPI assigned
May 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 2011-124 WI Primary

Addresses

Primary practice location

2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711-5809

Mailing address

701 Knickerbocker St Apt 402
Madison, WI 53711-2400
Phone (608) 301-5570

Other practice location 1

1716 Fordem Ave
Madison, WI 53704-4604
Phone (608) 221-3511

Other practice location 2

701 Knickerbocker St Apt 402
Madison, WI 53711-2400
Phone (608) 221-3511

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
Master of Science

State licenses

LicenseStateTypeSpecialty
2011-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhythmic Connections LLC CurrentSince Jun 1, 2025 Accepting new patients
Reflections Mental Health LLC PastSince May 1, 2022 Accepting new patients
Children'S Service Society of Wisconsin Marriage & Family Therapist PastSince Jul 1, 2024 Accepting new patients

Locations

2961 Yarmouth Greenway Dr
Ste 2
Fitchburg, WI 53711
Phone (608) 620-5380

Organizations & group practices 3

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1982341640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 KNICKERBOCKER ST APT 402",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112400",
            "telephone_number": "608-301-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-301-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 Fordem Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537044604",
            "country_code": "US",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Knickerbocker St Apt 402",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537112400",
            "country_code": "US",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTAMEDI",
        "first_name": "GOLSHAN",
        "credential": "MS LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2011-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.