Madeline Clemens, LCMHC, NCC, MA

Individual provider Active NPI Mental Health Counselor · Jacksonville, NC

NPI 1073462008 · NPPES record last updated Jan 23, 2026

Key facts

NPI
1073462008
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
18609 (NC)
Practice address
513 New Bridge St Ste 600
Jacksonville, NC 28540-5430
Phone
(910) 378-9542
NPI assigned
Jan 23, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
18609NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18609 NC
Mental Health Counselor 101YM0800X 18609 NC Yes

Addresses

Primary practice location

513 New Bridge St Ste 600
Jacksonville, NC 28540-5430

Mailing address

513 New Bridge St Ste 600
Jacksonville, NC 28540-5430
Phone (910) 378-9542

Other providers in Jacksonville, NC

All providers in Jacksonville, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.