Active NPI
Madeline Myers
- Mental Health Counselor
- Leesburg, VA
National Provider Identifier
1124637129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701013349
- Practice address
- 15 N King St
Leesburg, VA 20176-2827 - Phone
- (571) 800-0850
- NPI assigned
- Jul 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701013349 | VA | Primary |
| Mental Health Counselor | 101YM0800X | LC11462 | MD |
Addresses
Primary practice location
15 N King St
Leesburg, VA 20176-2827
Mailing address
15 N King St
Leesburg, VA 20176-2827
Other practice location 1
3100F Mountain Rd.
Pasadena, MD 21122-2018
Phone (410) 941-9647
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701013349 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1124637129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N KING ST",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N KING ST",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762827",
"telephone_number": "571-800-0850"
}
],
"practiceLocations": [
{
"address_1": "3100F Mountain Rd.",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "MD",
"postal_code": "211222018",
"country_code": "US",
"telephone_number": "410-941-9647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "MADELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-26",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701013349",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC11462",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EMR",
"affiliation": "N",
"address_1": "3100F Mountain Rd",
"city": "Pasadena",
"state": "MD",
"country_code": "US",
"postal_code": "211222018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.