Active NPI
Madelyn B Schrader, RN MA LPC
- Professional Counselor
- Herndon, VA
National Provider Identifier
1265453732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004204
- Practice address
- 429 Carlisle Dr
Suite B
Herndon, VA 20170-5606 - Phone
- (703) 866-2106
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004204 | VA | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 0001110378 | VA |
Addresses
Primary practice location
429 Carlisle Dr
Suite B
Herndon, VA 20170-5606
Mailing address
429 Carlisle Dr
Suite B
Herndon, VA 20170-5606
Phone (703) 402-3527
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
- Credentials
- Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004204 | VA | MD | Professional Counselor |
| 0001110378 | VA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230422400000",
"number": "1265453732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 CARLISLE DR",
"address_2": "SUITE B",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705606",
"telephone_number": "703-402-3527",
"fax_number": "703-471-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 CARLISLE DR",
"address_2": "SUITE B",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705606",
"telephone_number": "703-866-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADER",
"first_name": "MADELYN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "RN MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2008-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004204",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "VA",
"license": "0001110378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.