Madeline Patalano, LPC, LPA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6724 Issued in NC

Practice address

1304 Aultroy Dr
Fayetteville, NC 28306-3562

Phone

(910) 850-1274

Fax

(888) 588-7183

NPI assigned

Aug 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Mend Counseling Services PLLC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1487287686
  NPD Authorized official

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1083807192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 AULTROY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063562",
            "telephone_number": "910-850-1274",
            "fax_number": "888-588-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 AULTROY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063562",
            "telephone_number": "910-850-1274",
            "fax_number": "888-588-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 Cailin Way",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808174725",
            "country_code": "US",
            "telephone_number": "910-850-1274",
            "fax_number": "888-588-7183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATALANO",
        "first_name": "MADELINE",
        "credential": "LPC, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103762",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hafsa Parveen, MD
• Avinash Pasam, MD
• Mia Paschal
• John Pasztor, RD
• Istvan Pataki, MD
• Daniya Cambreyon Pate
• Kelly Michelle Pate, PHARMD
• Robert Lee Pate, PA-C
• Aanal Patel, PHARM D
• Amar Rajiv Patel, MD

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.

Verify at the official NPI Registry.