Elizabeth Madonia, LMHC,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012411-01 Issued in NY

Practice address

356 Husson St
Staten Island, NY 10306-3438

Phone

(917) 670-4508

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1093440463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 HUSSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063438",
            "telephone_number": "917-670-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 HUSSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063438",
            "telephone_number": "917-670-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONIA",
        "first_name": "ELIZABETH",
        "credential": "LMHC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "760618",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012411-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil B Madero
• Victoria Maria Madino
• Madison Telehealth LLC
• Adeen Rodd Madison, P.A.
• Silvia Madison
• Ryan Madray
• Angela Madrid, CRNA
• Ricardo E Madrid, MD
• Chika Ngozi Madu, MD
• Ezemonye O Madu, D.O

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.