Active NPI
Benita Eileen Madison, LMFT
- Marriage & Family Therapist
- Selma, AL
National Provider Identifier
1053633792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202379
- Practice address
- 14 Meadowview Cir
Selma, AL 36701-6925 - Phone
- (334) 328-1930
- NPI assigned
- Feb 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 867 | OK | |
| Marriage & Family Therapist | 106H00000X | L 304 | AL | |
| Marriage & Family Therapist | 106H00000X | 202379 | TX | Primary |
Addresses
Primary practice location
14 Meadowview Cir
Selma, AL 36701-6925
Mailing address
14 Meadowview Cir
Selma, AL 36701-6925
Phone (334) 328-1930
Other practice location 1
2950 North Loop W Ste 500
Houston, TX 77092-8830
Phone (724) 250-8855
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L 304 | AL | MD | Marriage & Family Therapist |
| 202379 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1053633792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MEADOWVIEW CIR",
"city": "SELMA",
"state": "AL",
"postal_code": "367016925",
"telephone_number": "334-328-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MEADOWVIEW CIR",
"city": "SELMA",
"state": "AL",
"postal_code": "367016925",
"telephone_number": "334-328-1930"
}
],
"practiceLocations": [
{
"address_1": "2950 North Loop W Ste 500",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770928830",
"country_code": "US",
"telephone_number": "724-250-8855",
"fax_number": "724-788-0617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADISON",
"first_name": "BENITA",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "867",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "L 304",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.