Madison Shreve, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20990 Issued in NC

Practice address

2554 Lewisville Clemmons Rd BLDG Suite209
Clemmons, NC 27012-8110

Phone

(336) 660-6000

NPI assigned

Jul 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forsyth Psychiatric Associates, PLLC

  • Psychiatry Physician
  • Clemmons, NC
  • NPI 1326575994
  NPD (past)

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1124919931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 RIVERWOODS DR APT 305",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284120002",
            "telephone_number": "336-840-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD BLDG SUITE209",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128110",
            "telephone_number": "336-660-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "MADISON",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kathryn Seal, MD
• Justin Fletcher Segrest, FNP, MSN, RN
• Shadybrook Psychological Services PLLC
• Amelia Rhoades Shepherd, OTR/L
• Kelsey Shook
• Candice Simpson
• Rebecca Adams Sluder, M.A., CCC-SLP
• Rafal Marek Smigrodzki, MD
• Jonathan W Smith
• Katherine Marie Smith, PHARMD

• Mental Health Counselor in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.