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

Madison Bear

Individual provider Mental Health Counselor · NPI 1417631896

Madison Bear is a Mental Health Counselor in Portage, Wisconsin. Qualified in 2023, 3 years ago. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

1508 New Pinery Rd
Portage, WI 53901-1312
Phone: (608) 745-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7461-226 (WI)

Record details

NPI number1417631896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing addressW8053 Whitetail Dr, Pardeeville, WI 53954-9588

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Portage