Madison Elizabeth Ericksen, LCMHC
Individual provider Active NPI Professional Counselor · Black Mountain, NC
NPI 1093290751 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1093290751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 13817 (NC)
- Practice address
- 305 N Dougherty St
Black Mountain, NC 28711-3353 - Phone
- (828) 406-0667
- NPI assigned
- Sep 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13817 | NC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13817 | NC | |
| Professional Counselor | 101YP2500X | 13817 | NC | Yes |
Addresses
Primary practice location
305 N Dougherty St
Black Mountain, NC 28711-3353
Mailing address
305 N Dougherty St
Black Mountain, NC 28711-3353
Phone (828) 406-0667
Other providers in Black Mountain, NC
- Eckerd Corporation
- Karen Edey
- Sarah Lynn Eisenhauer
- Vernetta Lee Eleazer
- Edna Doreen English
- Eileen Klein Eudy
- Steven Thomas Evans
- Ashley L. Everett
- Timothy Everett
- Allison Falk
All providers in Black Mountain, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.