Active NPI
Madeline Luisa Mandeville, LPC-A
- Counselor
- New Canaan, CT
National Provider Identifier
1053272526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8993
- Practice address
- 208 Valley Rd
New Canaan, CT 06840-3899 - Phone
- (886) 542-4455
- NPI assigned
- Nov 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8993 | CT | Primary |
Addresses
Primary practice location
208 Valley Rd
New Canaan, CT 06840-3899
Mailing address
285 Coram Ave
Shelton, CT 06484-3255
Phone (203) 801-3489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8993 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1053272526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 CORAM AVE",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843255",
"telephone_number": "203-801-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 VALLEY RD",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068403899",
"telephone_number": "886-542-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEVILLE",
"first_name": "MADELINE",
"middle_name": "LUISA",
"name_prefix": "Ms.",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "8993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.