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MS. SHELLY WISSINK MS, LPC
NPI 1407336985
Counselor - Mental Health in Madison, WI

Active since August 15, 2018
429 GAMMON PL STE 200, MADISON, WI 53719(608) 772-9582 Get Directions Write a Review

NPPES record last updated: April 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2020, Aug 15, 2018 (2 updates tracked since 2018).

About Ms. Shelly Wissink Ms, Lpc NPPES

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

MS. SHELLY WISSINK MS, LPC (NPI 1407336985) is an individual mental health provider in Madison, Wisconsin, licensed in Wisconsin (6856-125) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1407336985
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SHELLY WISSINKCredential: MS, LPC
Location Address429 GAMMON PL STE 200Madison, WI 53719-1053
Mailing Address429 Gammon Pl Ste 200Madison, WI 53719-1053
Phone(608) 772-9582
Sole ProprietorYes
Enumeration DateAugust 15, 2018
Last NPPES UpdateApril 18, 20202 updates tracked since enumeration
NPPES CertifiedApril 18, 2020
✔ NPI 1407336985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 6856-125
429 GAMMON PL STE 200, Madison, WI 53719
Open in Google Maps ↗

Other Identifiers 1

Other0WI · None

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER L LEACH LCSW
Counselor (Mental Health)
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 824-7243
EATING DISORDER SUPPORT NETWORK
Counselor (Professional)
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 843-7055
WEJDAN ALSEQAMI LPC
Counselor (Professional)
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 824-7243
KELLIE JURIS LMFT
Marriage & Family Therapist
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 824-7243
HALEY JENSEN RD
Dietitian, Registered
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 824-7243
LISA AUSTIN MOSES LCSW
Social Worker (Clinical)
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 824-7243
EATING DISORDER SUPPORT NETWORK
Counselor (Professional)
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 843-7055
SCHARRER PSYCHIATRIC CONSULTING SC
Psychiatry & Neurology (Psychiatry)
429 GAMMON PL STE 200
MADISON, WI 53719
Dane County (608) 284-7966

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 Shelly Wissink's NPI number?

The NPI number for Shelly Wissink is 1407336985. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Shelly Wissink located?

Shelly Wissink practices at 429 Gammon Pl Ste 200, Madison, WI 53719. The listed phone number is (608) 772-9582.

What is Shelly Wissink's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shelly Wissink was last updated on April 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.