Individual provider Active NPI

Madison Chambers, LMHC

  • Mental Health Counselor
  • Palm Bay, FL
National Provider Identifier
1063189272
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18568 Issued in FL
Practice address
2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Phone
(321) 724-1614
Fax
(321) 722-3590
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18568 FL Primary

Addresses

Primary practice location

2123 Franklin Dr NE
Palm Bay, FL 32905-4022

Mailing address

996 Falconer St NW
Palm Bay, FL 32907-7905
Phone (321) 917-0292

Other names 1

  • Madison Abner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229002757 FL Practitioner - Mental Health Counselor 8729423736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Psychiatric Centers IncGroup PAC ID 1557357860, 23 clinicians

Practice addresses (Care Compare)

2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Phone (321) 724-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18568FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Psychiatric Centers, Inc. Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614

Interoperability endpoints

  • Direct secure messaging: atlanticpsychiatric.madisonchambers@157402.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1063189272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 FALCONER ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077905",
            "telephone_number": "321-917-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 FRANKLIN DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054022",
            "telephone_number": "321-724-1614",
            "fax_number": "321-722-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MADISON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "ABNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.