Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHADOW-LYTE JASMIN DONAVAN LCSW, LMT
NPI 1962057463
Social Worker - Clinical in Waunakee, WI

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment
251 PROGRESS WAY, WAUNAKEE, WI 53597(608) 409-3400 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Mar 24, 2025, Feb 4, 2020 and 1 more (4 updates tracked since 2019).

About Shadow-lyte Jasmin Donavan Lcsw, Lmt NPPES

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

SHADOW-LYTE JASMIN DONAVAN LCSW, LMT (NPI 1962057463) is an individual clinical provider in Waunakee, Wisconsin, licensed in Wisconsin (6526-123) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1962057463
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHADOW-LYTE JASMIN DONAVANCredential: LCSW, LMT
Location Address251 PROGRESS WAYWaunakee, WI 53597-2520
Mailing Address1950 Foggy Mountain PassWaunakee, WI 53597-2383 · (608) 409-3400
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 2, 2019
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1962057463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 6526-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
251 PROGRESS WAY, Waunakee, WI 53597

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shadow-lyte Jasmin Donavan Lcsw, Lmt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123455466
PECOS Enrollment IDI20200225002941
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53597 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
251 PROGRESS WAY
WAUNAKEE, WI 53597

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 Shadow-lyte Jasmin Donavan's NPI number?

The NPI number for Shadow-lyte Jasmin Donavan is 1962057463. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Shadow-lyte Jasmin Donavan located?

Shadow-lyte Jasmin Donavan practices at 251 Progress Way, Waunakee, WI 53597. The listed phone number is (608) 409-3400.

What is Shadow-lyte Jasmin Donavan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shadow-lyte Jasmin Donavan enrolled in Medicare?

Yes. Shadow-lyte Jasmin Donavan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shadow-lyte Jasmin Donavan accept?

Health plans from Medica, Quartz and UnitedHealthcare list Shadow-lyte Jasmin Donavan 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 Shadow-lyte Jasmin Donavan was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.