OPEN DOOR CENTER FOR CHANGE LLC
NPI 1215068069
Clinic/Center - Mental Health (Including Community Mental Health Center) in Madison, WI
About Open Door Center For Change Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPEN DOOR CENTER FOR CHANGE LLC (NPI 1215068069) is a healthcare organization registered as a mental health (including community mental health center) in Madison, Wisconsin and active in the NPI registry since March 2007. The organization maintains a secondary practice location in Madison and lists Amy J Mosher-garvey, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Open Door Center For Change Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Open Door Center For Change LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (19)
Monona, WI 53716
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 Open Door Center For Change LLC's NPI number?
The NPI number for Open Door Center For Change LLC is 1215068069. It was assigned to this organization in the NPPES registry on March 7, 2007.
Where is Open Door Center For Change LLC located?
Open Door Center For Change LLC is located at 6502 Grand Teton Plz Ste 102, Madison, WI 53719. The listed phone number is (608) 827-7220.
What is Open Door Center For Change LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Open Door Center For Change LLC enrolled in Medicare?
Yes. Open Door Center For Change LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Open Door Center For Change LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Open Door Center For Change 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. The largest specialties are Clinical Social Worker (11), Mental Health Counselor (5) and Marriage and Family Therapist (3). Of these, 13 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Open Door Center For Change LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Open Door Center For Change LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Open Door Center For Change LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Open Door Center For Change Llc · NPI 1215068069
Mental Health (Including Community Mental Health Center) organization in Madison, Wisconsin. Organization record, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1215068069 (Entity type: Organization)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Amy Mosher-Garvey, CO-OWNER
## Practice location
- **Address:** 6502 GRAND TETON PLZ STE 102, Madison, WI 53719-1047
- **Phone:** (608) 827-7220 · **Fax:** (608) 827-7223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (11), Mental Health Counselor (5), Marriage and Family Therapist (3); 13 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2024
- **Other identifiers:** Medicaid 42198900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1215068069) · Data from the CMS NPPES public registry.