MEDICARE: KEVIN LLEWELLYN DOSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	16481-132	WI
2	101YM0800X	Mental Health Counselor	7955-226	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053825927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN LLEWELLYN DOSS

Provider Business Mailing Address
First Line	:	815 FORWARD DRIVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2443
Country	:	US
Telephone Number	:	608-268-6530
Fax Number	:	608-709-1744

Provider Business Practice Location Address
First Line	:	2701 INTERNATIONAL LN STE 201
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53704-3126
Country	:	US
Telephone Number	:	608-268-6530
Fax Number	:	608-709-1744

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	02/04/2026

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Directions to “ KEVIN LLEWELLYN DOSS ” Practice Location

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