Individual provider · Type 1 NPI

Kellie Juris, LMFT

Marriage & Family Therapist · Madison, WI

NPI number 1295670479 Active

Practice location

429 Gammon Pl Ste 200
Madison, WI 53719-1053

Fax (608) 821-0938

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	2473124 (WI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1295670479

Kellie Juris, LMFT's National Provider Identifier is 1295670479, issued on Apr 22, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Madison, WI. The record was last updated on Apr 22, 2026.