Maddie Decker, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MADDIE DECKER, LLC

Practice address

2004 Murdoch Rd
Henrico, VA 23229-3140

Phone

(828) 423-6917

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Maddie Decker, LPC

Title

Counselor

Phone

(828) 423-6917

Specialties & licenses 1

Addresses

Other names 2

• ReImagine Therapy Other name
• Reimagine Counseling Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeleine Zehr Decker, LPC

  • Counselor
  • Henrico, VA
  • NPI 1235489915
  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1093425290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MURDOCH RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232293140",
            "telephone_number": "828-423-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MURDOCH RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232293140",
            "telephone_number": "828-423-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDIE DECKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "MADDIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "828-423-6917",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReImagine Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Reimagine Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica Lurry, LCSW
• Luxottica of America Inc.
• LWM Service Facilitator
• Lindsey Ann Lyon, PT, DPT
• Madeleine Maas
• Brandon Andrew Maddox, RN
• Gina Maggio, MS CCC-SLP
• Fadi Mohammad Majdalawi, DMV
• Major Addiction and Recovery House LLC
• Make Money Fast Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Henrico, VA
• Providers in Henrico, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.