NPI 1326966375 · live from the CMS NPI Registry
Amethyst Wellness LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Madison, WI. National Provider Identifier 1326966375, active.
NPI record
| NPI | 1326966375 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 6302 Odana Rd Ste 215, Madison, WI 53719 |
| Practice phone | 608-709-9575 |
| Mailing address | Po Box 127, Mazomanie, WI 53560 |
| Enumerated | July 8, 2026 |
| Last updated | July 8, 2026 |
| Authorized official | Kelly Raufman, Agency Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Case Management | 251B00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.