Healthcare Provider Details

I. General information

NPI: 1043132947
Provider Name (Legal Business Name): ANGELIKA PEGEL-QUADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E OLIN AVE STE 105
MADISON WI
53713-1427
US

IV. Provider business mailing address

1022 CARIBE CT
VERONA WI
53593-1926
US

V. Phone/Fax

Practice location:
  • Phone: 608-251-4156
  • Fax:
Mailing address:
  • Phone: 608-576-2749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9233226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: