Kintsugi Mental Health LLC
NPI 1679336077 · Counseling Psychologist · Madison, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kintsugi Mental Health LLC is a Counseling Psychologist organization in Madison, WI (NPI 1679336077).
Provider details
- NPI number
- 1679336077
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jaime Lam, Owner/Licensed Psychologist(781) 698-9171
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5902 Tolman TerMadison, WI 53711-3360Phone: (781) 698-9171
Registry dates
- Enumerated
- 2024-01-30
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Frequently asked questions
- What is Kintsugi Mental Health LLC's NPI number?
- Kintsugi Mental Health LLC's National Provider Identifier (NPI) is 1679336077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kintsugi Mental Health LLC?
- Kintsugi Mental Health LLC is classified in the NPPES registry as Counseling Psychologist (Behavioral Health & Social Service Providers).
- Where is Kintsugi Mental Health LLC located?
- Kintsugi Mental Health LLC's practice location on file with NPPES is 119 Martin Luther King Jr Blvd Ste Ll-20, Madison, WI 53703-3355.
- What is Kintsugi Mental Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Kintsugi Mental Health LLC is (608) 291-3586.
- Does Kintsugi Mental Health LLC accept Medicare?
- Kintsugi Mental Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kintsugi Mental Health LLC?
- The authorized official listed on Kintsugi Mental Health LLC's NPPES record is Jaime Lam, Owner/Licensed Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kintsugi Mental Health LLC's NPI active?
- Yes — Kintsugi Mental Health LLC's NPI (1679336077) is active in the NPPES registry as of the last update on 2024-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.