| Shadow Jasmin LLC | |
|
2415 Parview Rd Ste 1 Middleton WI 53562-2554 | |
| (608) 409-3400 | |
| Not Available |
| Full Name | Shadow Jasmin LLC |
|---|---|
| Speciality | Social Worker |
| Location | 2415 Parview Rd Ste 1, Middleton, Wisconsin |
| Authorized Official Name and Position | Shadow-lyte Jasmin Donavan (OWNER) |
| Authorized Official Contact | 6084093400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Jasmin LLC 1950 Foggy Mountain Pass Waunakee WI 53597-2383 Ph: (608) 409-3400 | Shadow Jasmin LLC 2415 Parview Rd Ste 1 Middleton WI 53562-2554 Ph: (608) 409-3400 |
| NPI Number | 1023987211 |
|---|---|
| Provider Enumeration Date | 11/04/2025 |
| Last Update Date | 08/12/2026 |
| Certification Date | 08/12/2026 |
| Medicare PECOS PAC ID | 7214411479 |
|---|---|
| Medicare Enrollment ID | O20260325002335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023987211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Shadow -lyte Jasmin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962057463 PECOS PAC ID: 8123455466 Enrollment ID: I20200225002941 |
Miramont Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3169 Deming Way, Middleton, WI 53562 Phone: 901-969-3100 |
Community Counseling Center of Madison, Wi, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6629 University Ave, Suite 209, Middleton, WI 53562 Phone: 608-833-5880 Fax: 608-829-3787 |
Awakened Vitality, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7475 Hubbard Ave Ste 203, Middleton, WI 53562 Phone: 608-620-3062 |
Waldron Kriss and Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6702 Stonefield Rd Ste 100, Middleton, WI 53562 Phone: 608-836-5529 Fax: 608-836-8059 |
Andromeda Wellness Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 582 Fargo Trl, Middleton, WI 53562 Phone: 608-216-4374 Fax: 608-716-3148 |
Youbloomcounseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 Greenway Blvd Ste 600, Middleton, WI 53562 Phone: 608-416-9415 |