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S M BACKUS LLC
NPI 1023987211
Social Worker - Clinical in Middleton, WI

Active since November 04, 2025
2415 PARVIEW RD STE 1, MIDDLETON, WI 53562(608) 409-3400 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Jul 7, 2026, Nov 4, 2025 (3 updates tracked since 2025).

About S M Backus Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S M BACKUS LLC (NPI 1023987211), doing business as Shadow Jasmin Llc, is a healthcare organization registered as a clinical in Middleton, Wisconsin and active in the NPI registry since November 2025. The organization lists Shadow-lyte Jasmin Donavan, Owner, as its authorized official.

NPPES Registry Identity

NPI1023987211
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameS M BACKUS LLC
Location Address2415 PARVIEW RD STE 1Middleton, WI 53562-2554
Mailing Address1950 Foggy Mountain PassWaunakee, WI 53597-2383 · (608) 409-3400
Phone(608) 409-3400
Organization SubpartNo
Authorized OfficialShadow-lyte Jasmin DonavanOwner · (608) 409-3400
Enumeration DateNovember 4, 2025
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1023987211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2415 PARVIEW RD STE 1, Middleton, WI 53562
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Other Names 1

Doing Business AsShadow Jasmin Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

S M Backus Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to S M Backus LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shadow -Lyte Jasmin Donavan, LCSW, LMT
Clinical Social Worker
NPI 1962057463
251 PROGRESS WAY
Waunakee, WI 53597
(608) 409-3400
✔ PECOS✔ Accepts Medicare7.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S M Backus LLC's NPI number?

The NPI number for S M Backus LLC is 1023987211. It was assigned to this organization in the NPPES registry on November 4, 2025. The provider is doing business as Shadow Jasmin LLC.

Where is S M Backus LLC located?

S M Backus LLC is located at 2415 Parview Rd Ste 1, Middleton, WI 53562. The listed phone number is (608) 409-3400.

What is S M Backus LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is S M Backus LLC enrolled in Medicare?

Yes. S M Backus LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S M Backus LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to S M Backus LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for S M Backus LLC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.