Active NPI
Madison Rae Meadows, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1104492610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77757
- Practice address
- 1430 Collier St
Austin, TX 78704-2911 - Phone
- (737) 243-3222
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77757 | TX | Primary |
Addresses
Primary practice location
1430 Collier St
Austin, TX 78704-2911
Mailing address
404 Rio Grande St Apt 231
Austin, TX 78701-2792
Phone (512) 674-5616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77757 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
Other names 1
- Madison Rae Juarez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | madison.meadows@integralcare.org | Direct | Austin Travis County Integral Care |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77757 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1104492610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 RIO GRANDE ST APT 231",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012792",
"telephone_number": "512-674-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "737-243-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "MADISON",
"middle_name": "RAE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "77757",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "madison.meadows@integralcare.org",
"affiliation": "Y",
"endpointDescription": "Business email",
"affiliationName": "Austin Travis County Integral Care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email address",
"address_1": "1430 Collier St",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787042911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MADISON",
"last_name": "JUAREZ",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.