MEDICARE: MARION T STEVENS LPC

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	101YM0800X	Mental Health Counselor	4090-125	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	:	1992091441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARION T STEVENS LPC

Provider Business Mailing Address
First Line	:	1209 CHERRY AVE STE 202
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53714-1205
Country	:	US
Telephone Number	:	920-664-2490
Fax Number	:

Provider Business Practice Location Address
First Line	:	5109 WORLD DAIRY DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-3807
Country	:	US
Telephone Number	:	608-242-0220
Fax Number	:

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

Provider Enumeration Date	:	06/23/2011
Last Update Date	:	07/21/2022

Similar Medicare Providers

1265362461 — AMBER SEIFERT
Practice Location Address:

5109 WORLD DAIRY DR
MADISON, WI
53718-3807

Practice Phone: 608-242-0220
Practice Fax:

1861500878 — ROBURRY INC.
Practice Location Address:

3807 SUNBURST RD
MADISON, WI
53718-6216

Practice Phone: 608-513-0629
Practice Fax:

1801947965 — MILWAUKEE HEALTH SERVICES SYSTEM, LLC
Practice Location Address:

5109 WORLD DAIRY DR.
MADISON, WI
53718-3807

Practice Phone: 608-242-0220
Practice Fax: 608-242-1166

1194992404 — MILWAUKEE HEALTH SERVICES SYSTEM, LLC
Practice Location Address:

5109 WORLD DAIRY DR
MADISON, WI
53718-3807

Practice Phone: 608-242-0220
Practice Fax: 608-242-1166

1609115971 — LEELLEN KAYE CARTER CSAC
Practice Location Address:

5109 WORLD DAIRY DR
MADISON, WI
53718-3807

Practice Phone: 608-242-0220
Practice Fax:

1568883999 — MS. ERIN M LECKWEE SAC
Practice Location Address:

5109 WORLD DAIRY DR
MADISON, WI
53718-3807

Practice Phone: 608-242-0220
Practice Fax: 608-242-1166

Directions to “ MARION T STEVENS LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.