ANESIS CENTER FOR MARRIAGE AND FAMILY THERAPY (NPI# 1720586761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720586761 |
| Entity Type | Organization |
| Organization Name | ANESIS CENTER FOR MARRIAGE AND FAMILY THERAPY |
| Practice Address |
6409 Odana Rd Ste 14 Madison WI 53719-1177 |
| Practice Telephone | 6082686530 |
| Practice Fax Number | 6087091774 |
| Mailing Telephone | 6082686530 |
| Mailing Fax Number | 6087091774 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | MYRA MCNAIR (OWNER, SERVICE DIRECTOR) |
| Authorized Official Telephone | 6082686530 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | WI | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
WI | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
WI | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
WI | Behavioral Health & Social Service Providers | |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
6409 ODANA RD STE 14 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185136 | Where Positivity Grows | Clinic/Center | 121 Hanover St, Madison, MS 39110-6028 | 2020-08-17 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1104453562 | Empower Therapy & Wellness LLC | Clinic/Center | 786 Boston Post Rd # 203, Madison, CT 06443-3036 | 2020-03-25 |
| 1538712492 | Midtown Health Center, Inc. | Clinic/Center | 405 E 8th St, Madison, NE 68748-6319 | 2019-07-19 |
| 1023519956 | Strata Psychotherapy & Adhd Services, LLC | Clinic/Center | 6701 Seybold Rd Ste 114, Madison, WI 53719-1388 | 2018-02-26 |
| 1649785643 | Big Heart Counseling Center | Clinic/Center | 6409 Odana Rd Ste 24, Madison, WI 53719-1177 | 2017-12-12 |
| 1861921553 | Morristown Counseling Associates | Clinic/Center | 2 Green Village Rd Apt 203, Madison, NJ 07940-2581 | 2017-06-07 |
| 1689117202 | Dr Christine Foskett LLC | Clinic/Center | 7633 Ganser Way Ste 104, Madison, WI 53719-2092 | 2016-11-30 |
| 1881044162 | John Joseph Barisa | Clinic/Center | 209 Patricia Rd, Madison, AL 35758-1416 | 2016-06-16 |
| 1023261211 | The Family Resource Group | Clinic/Center | 313 Price Pl Ste 11, Madison, WI 53705-3250 | 2008-10-31 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.