Healthcare Provider Details

I. General information

NPI: 1649609280
Provider Name (Legal Business Name): SHANNON KRISTI FINK MS, LPC, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHANNON KRISTI ADAMCZYK

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 GAMMON PL. UNIT 200
MADISON WI
53719
US

IV. Provider business mailing address

429 GAMMON PL. UNIT 200
MADISON WI
53719
US

V. Phone/Fax

Practice location:
  • Phone: 608-824-7243
  • Fax: 608-821-0938
Mailing address:
  • Phone: 608-824-7243
  • Fax: 608-821-0938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5870-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: