MOONTREE PSYCHOTHERAPY CENTER LLC
NPI 1770806259
Clinic/Center - Mental Health (Including Community Mental Health Center) in Madison, WI
About Moontree Psychotherapy Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOONTREE PSYCHOTHERAPY CENTER LLC (NPI 1770806259) 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 2010. The organization lists Dale Decker, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Moontree Psychotherapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Moontree Psychotherapy Center LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
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 Moontree Psychotherapy Center LLC's NPI number?
The NPI number for Moontree Psychotherapy Center LLC is 1770806259. It was assigned to this organization in the NPPES registry on March 11, 2010.
Where is Moontree Psychotherapy Center LLC located?
Moontree Psychotherapy Center LLC is located at 401 Wisconsin Ave, Madison, WI 53703. The listed phone number is (608) 256-5115.
What is Moontree Psychotherapy Center 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 Moontree Psychotherapy Center LLC enrolled in Medicare?
Yes. Moontree Psychotherapy Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moontree Psychotherapy Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Moontree Psychotherapy Center 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 (7), Marriage and Family Therapist (6) and Mental Health Counselor (2). Of these, 6 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Moontree Psychotherapy Center LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Moontree Psychotherapy Center 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 Moontree Psychotherapy Center LLC was last updated on March 19, 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.
# Moontree Psychotherapy Center Llc · NPI 1770806259
Mental Health (Including Community Mental Health Center) organization in Madison, Wisconsin. Organization record, active in the CMS NPPES registry since March 11, 2010.
## Identity
- **NPI:** 1770806259 (Entity type: Organization)
- **Enumerated:** March 11, 2010
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Dale Decker, MEMBER
## Practice location
- **Address:** 401 WISCONSIN AVE, Madison, WI 53703-1487
- **Phone:** (608) 256-5115 · **Fax:** (608) 256-5116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Marriage and Family Therapist (6), Mental Health Counselor (2); 6 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770806259) · Data from the CMS NPPES public registry.