Active NPI
Madison Taylor Vickers, CADC-I
- Addiction (Substance Use Disorder) Counselor
- Carson City, NV
National Provider Identifier
1063194652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 07445-I
- Practice address
- 775 Fleischmann Way
Carson City, NV 89703-2995 - Phone
- (775) 445-8889
- NPI assigned
- Aug 2, 2023
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07445-I | NV | Primary |
Addresses
Primary practice location
775 Fleischmann Way
Carson City, NV 89703-2995
Mailing address
1402 Pin Oak Dr
Gardnerville, NV 89410-7307
Phone (775) 291-2535
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 |
|---|---|---|---|
| 07445-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1063194652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 PIN OAK DR",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894107307",
"telephone_number": "775-291-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 FLEISCHMANN WAY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897032995",
"telephone_number": "775-445-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "MADISON",
"middle_name": "TAYLOR",
"credential": "CADC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "07445-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.