KINTSUGI MENTAL HEALTH LLC
NPI 1679336077
Psychologist - Counseling in Madison, WI
About Kintsugi Mental Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINTSUGI MENTAL HEALTH LLC (NPI 1679336077) is a healthcare organization registered as a counseling in Madison, Wisconsin and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Madison and lists Jaime Lam, Owner/licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 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)
Kintsugi Mental Health 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 Kintsugi Mental Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kintsugi Mental Health LLC's NPI number?
The NPI number for Kintsugi Mental Health LLC is 1679336077. It was assigned to this organization in the NPPES registry on January 30, 2024.
Where is Kintsugi Mental Health LLC located?
Kintsugi Mental Health LLC is located at 119 Martin Luther King Jr Blvd Ste Ll-20, Madison, WI 53703. The listed phone number is (608) 291-3586.
What is Kintsugi Mental Health LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Kintsugi Mental Health LLC enrolled in Medicare?
Yes. Kintsugi Mental Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kintsugi Mental Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kintsugi Mental Health 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.
What insurance does Kintsugi Mental Health LLC accept?
Health plans from Dean Health Plan and Quartz list Kintsugi Mental Health 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 Kintsugi Mental Health LLC was last updated on March 6, 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.