LEAH BASTIAN


Address: 2935 S Fish Hatchery Rd # 244, Madison, WI 53711
Phone: 6083529048

LEAH BASTIAN (NPI# 1972161628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972161628
Entity Type Individual
Full Name LEAH BASTIAN
Practice Address 2935 S Fish Hatchery Rd # 244
Madison
WI 53711
Practice Telephone 6083529048
Mailing Telephone 6083529048
Enumeration Date 2019-05-29
Last Update Date 2020-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 691-228 WI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4800 Ivywood Trl, Mc Farland, WI 535589433 6088388999

Office Location

Street Address 2935 S FISH HATCHERY RD # 244
City MADISON
State WI
Zip Code 53711

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NPI Name Taxonomy Address Enumeration
1487296307 Exact Sciences Laboratories, LLC Clinical Medical Laboratory 650 Forward Drive, Madison, WI 53711 2019-10-11
1508417916 Cassandra D Pasquariello Psychologist Department of Athletics, 1440 Monroe Street, Madison, WI 53711 2019-09-26
1457810673 Leah Smith Specialist/Technologist 1436 Monroe Street, Madison, WI 53711 2019-03-18
1669942249 Patrick Soltvedt Bohn Physician Assistant 1034 Waban Hill, Madison, WI 53711 2018-11-27
1760975395 Alysha Rolli Dentist 2945 Triverton Pike Dr, Fitchburg, WI 53711 2018-06-08
1265922561 Farence Rogers Student in an Organized Health Care Education/Training Program 1475 Engineering Dr. Madison, Madison, WI 53711 2018-05-14
1588015358 Kristen Siskovich Speech-Language Pathologist 2927 Fish Hatchery Rd., Fitchburg, WI 53711 2016-06-23
1598132383 Shari Eberhardt Nurse Practitioner Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 2015-08-27
1649646506 Oak Park Place of Nakoma, LLC Skilled Nursing Facility 4327 Nakoma Road, Madison, WI 53711 2015-08-14
1003229345 Sadie Bognar Speech-Language Pathologist 2927 S. Fish Hatchery Road, Fitchburg, WI 53711 2014-06-04
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700494473 Kelsey Card Marriage & Family Therapist 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 2020-07-20
1437773736 Andrew Clayton Marriage & Family Therapist 440 Science Dr Ste 300, Madison, WI 53711-1064 2020-06-02
1518580638 Caitlin Stark Marriage & Family Therapist 518 Algoma St, Madison, WI 53704-4813 2020-05-22
1144843772 Sonya Sebren Summerlin Marriage & Family Therapist 17 Peachtree Ln, Madison, MS 39110-9217 2020-05-18
1083241723 Tammey Rooney Marriage & Family Therapist 4 Grove Ave, Madison, CT 06443-3225 2020-03-24
1639702970 Sheila Jane Mccabe Marriage & Family Therapist 1205 Saunders Ave, Madison, TN 37115-5118 2020-02-14
1881232189 Redwood Family Therapy LLC Marriage & Family Therapist 6402 Odana Rd Ste 106, Madison, WI 53719-1123 2019-12-17
1932744067 Sara Ruiz Marriage & Family Therapist Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 2019-11-13
1457993057 Joseph Stephen Leonard Marriage & Family Therapist 8025 Excelsior Dr Ste 110, Madison, WI 53717-2902 2019-10-15
1720637507 Mikayla T Phan Marriage & Family Therapist 437 S Yellowstone Dr Ste 212, Madison, WI 53719-1061 2019-09-05
Find all providers in MADISON

Competitor

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City MADISON
Zip Code 53711

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Dataset Information

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.

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