Individual provider Active NPI

Madyson Joy Soria-Estrada, LLC

  • Mental Health Counselor
  • Clinton Township, MI
National Provider Identifier
1174316749
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
37400 Garfield Road
Suite 325
Clinton Township, MI 48036-3677
Phone
(586) 275-2481
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451024278 MI
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

37400 Garfield Road
Suite 325
Clinton Township, MI 48036-3677

Mailing address

37400 Garfield Rd Ste 325
Clinton Township, MI 48036-3677
Phone (586) 275-2481

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

LicenseStateTypeSpecialty
6451024278MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1174316749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD STE 325",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363677",
            "telephone_number": "586-275-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD ROAD",
            "address_2": "SUITE 325",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363677",
            "telephone_number": "586-275-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIA-ESTRADA",
        "first_name": "MADYSON",
        "middle_name": "JOY",
        "credential": "LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451024278",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.