Active NPI
Madison Chambers, LMHC
- Mental Health Counselor
- Palm Bay, FL
National Provider Identifier
1063189272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18568
- 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
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 | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH18568 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Centers, Inc. | Mental Health | Current | Accepting new patients |
Locations
2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.