EATING DISORDER SUPPORT NETWORK
NPI 1114599131
Counselor - Professional in Madison, WI

NPI Status: Active since July 12, 2021

Contact Information

429 GAMMON PL STE 200
MADISON, WI
ZIP 53719
Phone: (608) 843-7055
Fax: (608) 821-0938

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  • Organization
  • Counselor
  • Professional
  • Accepts Insurance

About EATING DISORDER SUPPORT NETWORK

This page provides the complete NPI Profile along with additional information for Eating Disorder Support Network, a provider established in Madison, Wisconsin operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1114599131 assigned on July 2021. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Melissa J Walden Ms, Lpc (Owner)

NPI
1114599131
Provider Name
EATING DISORDER SUPPORT NETWORK
Entity Type
Organization
Location Address
429 GAMMON PL STE 200 MADISON, WI 53719
Location Phone
(608) 843-7055
Location Fax
(608) 821-0938
Mailing Address
429 GAMMON PL STE 200 MADISON, WI 53719
Mailing Phone
(608) 843-7055
Mailing Fax
(608) 821-0938
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2021
Last Update Date
07-12-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Focus Bronze $0 Copay PCP Visits - EPO
  • Dean Focus Bronze Share - EPO
  • Dean Focus Catastrophic - EPO
  • Dean Focus Expanded Bronze Standard - EPO
  • Dean Focus Gold HSA - EPO
  • Dean Focus Gold Share - EPO
  • Dean Focus Gold Standard - EPO
  • Dean Focus Silver $0 Copay PCP Visits - EPO
  • Dean Focus Silver Share - EPO
  • Dean Focus Silver Standard - EPO
  • Dean Gold HSA - HMO
  • Dean Gold Share - HMO
  • Dean Gold Standard - HMO
  • Dean Silver $0 Copay PCP Visits - HMO
  • Dean Silver Share - HMO
  • Dean Silver Standard - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELISSA J WALDEN MS, LPC

Authorized Official Title
OWNER
Authorized Official Phone
(608) 843-7055

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NAOTHER (01)WINA

Reviews for EATING DISORDER SUPPORT NETWORK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114599131
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241091816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 9 + 1 + 8 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1114599131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588175889EATING DISORDER SUPPORT NETWORK
Organization
Counselor (Professional)429 GAMMON PL STE 200
MADISON, WI 53719
(608) 843-7055
1407336985MS. SHELLY WISSINK MS, LPC
Individual
Counselor (Mental Health)429 GAMMON PL STE 200
MADISON, WI 53719
(608) 772-9582
1902385370 AMY L FRAIRE MA, LPC
Individual
Counselor (Mental Health)429 GAMMON PL STE 200
MADISON, WI 53719
(414) 246-7285
1255109302 WEJDAN ALSEQAMI LPC
Individual
Counselor (Professional)429 GAMMON PL STE 200
MADISON, WI 53719
(608) 824-7243
1013742402 HEATHER L LEACH LCSW
Individual
Counselor (Mental Health)429 GAMMON PL STE 200
MADISON, WI 53719
(608) 824-7243
1841010105SCHARRER PSYCHIATRIC CONSULTING SC
Organization
Psychiatry & Neurology (Psychiatry)429 GAMMON PL STE 200
MADISON, WI 53719
(608) 284-7966
1841189826 NICOLE ISAACSON RD
Individual
Dietitian, Registered429 GAMMON PL STE 200
MADISON, WI 53719
(608) 824-7243

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114599131, enumerated in the NPI registry as an "organization" on July 12, 2021

The provider is located at 429 Gammon Pl Ste 200 Madison, Wi 53719 and the phone number is (608) 843-7055

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Dean Health Plan, Quartz, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 12, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.