Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kintsugi Mental Health LLC

Organization Counseling Psychologist · NPI 1679336077

Kintsugi Mental Health LLC is a Counseling Psychologist in Madison, Wisconsin. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 Martin Luther King Jr Blvd Ste LL-20
Madison, WI 53703-3355
Phone: (608) 291-3586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5902 Tolman Ter, Madison, WI 53711-3360 — (781) 698-9171

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X

Record details

NPI number1679336077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Lam — Owner/Licensed Psychologist · (781) 698-9171
NPI enumeratedJanuary 30, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address5902 Tolman Ter, Madison, WI 53711-3360

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