Active NPI
Madeline Moulton
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1063173821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5253
- Practice address
- 2499 S Capital of Texas Hwy Ste B201
Austin, TX 78746-7758 - Phone
- (512) 256-0485
- NPI assigned
- Jan 4, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5253 | TN | Primary |
Addresses
Primary practice location
2499 S Capital of Texas Hwy Ste B201
Austin, TX 78746-7758
Mailing address
2499 S Capital of Texas Hwy Ste B201
Austin, TX 78746-7758
Phone (512) 256-0485
Other names 1
- Madeline Rhoden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 30, 2024 through Jan 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5253 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1063173821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 S CAPITAL OF TEXAS HWY STE B201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467758",
"telephone_number": "512-256-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 S CAPITAL OF TEXAS HWY STE B201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467758",
"telephone_number": "512-256-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULTON",
"first_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "5253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELINE",
"last_name": "RHODEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.