MIA S MARQUIS LMFT
NPI 1831105410
Marriage & Family Therapist in Middleton, WI
NPI Status: Active since August 01, 2006
Contact Information
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
Phone: (608) 282-8200
- Individual
- Female
- Years of Experience 4
- Marriage & Family Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MIA MARQUIS
This page provides the complete NPI Profile along with additional information for Mia Marquis, a provider established in Middleton, Wisconsin with a medical specialization in Marriage & Family Therapist and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1831105410 assigned on August 2006. The practitioner's primary taxonomy code is 106H00000X with license number 2144-124 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1831105410
- Provider Name
- MIA S MARQUIS LMFT
- Other Name
- MARIA T GRUEL OT
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2275 DEMING WAY STE 180 MIDDLETON, WI 53562
- Location Phone
- (608) 282-8200
- Mailing Address
- 7974 UW HEALTH CT MIDDLETON, WI 53562
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 01-19-2024
- Code Navigator
A marriage and family therapist like Mia Marquis help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2144-124
- License State
- WI
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 3374-26 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3374-26 | OTHER (01) | WI | OT |
Medicare Participation & PECOS Enrollment Status
Mia Marquis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mia Marquis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6507217981
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240110002218
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MIA S MARQUIS LMFT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 3 | 1 | 1 | 0 | 5 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 2 | 0 | 10 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 2 + 0 + 1 + 0 + 4 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1831105410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KATHERINE HASS NP
Nurse Practitioner
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
DR. KATHERINE ANNE WATERMOLEN PSY.D
Psychologist
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
CAROLYN A. LEE LCSW
Social Worker
(Clinical)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
ASHTON M FUCHS LCSW,BCBA
Social Worker
(Clinical)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
BRANDON S BYKOWSKI MSW, LCSW-SA
Social Worker
(Clinical)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
MR. CHRISTOPHER J WIRTH MS LMFT
Marriage & Family Therapist
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
DR. MARGRETT CHRISTINE SAMPE PH.D.
Psychologist
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
JOSIE M. ULLSPERGER PHD
Psychologist
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
CLAIRE F JOHNSON N.P.
Nurse Practitioner
(Psychiatric/Mental Health)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
STEPHANIE BACIAK EDELBLUTE LPC IT
Counselor
(Professional)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
DR. ANDREW SCHULTZ PSYD
Psychologist
(Clinical)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
CLAIRE F GORHAM APSW
Social Worker
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
PAIGE BRUNETT APSW
Social Worker
(Clinical)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
DENISE PISARSKI ROSBY LPC, CSAC
Counselor
(Professional)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
ANASTASIA STEFANI HOLLAND LPC
Counselor
(Professional)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
RUBY A. ADAMS-STEVENSON
Counselor
(Professional)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
ELIZABETH REEVE LCPC
Counselor
(Professional)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
KARRAH STAATS APSW
Social Worker
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
TIMOTHY KAUER LPC
Counselor
(Professional)
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
SKYLER W BELCOURT M.S.
Counselor
(Addiction (Substance Use Disorder))
2275 DEMING WAY STE 180
MIDDLETON, WI
ZIP 53562
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831105410, enumerated as an "individual" on August 01, 2006.
The provider is located at 2275 DEMING WAY STE 180 MIDDLETON, WI 53562 and the phone number is (608) 282-8200.
Marriage & Family Therapist with taxonomy code 106H00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.
