Individual provider Active NPI

Katelyn Marie Madsen, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1295544427
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005247A Issued in IN
Practice address
8404 Siear Ter
Indianapolis, IN 46227-7215
Phone
(317) 882-5122
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39005247A IN Primary

Addresses

Primary practice location

8404 Siear Ter
Indianapolis, IN 46227-7215

Mailing address

8404 Siear Ter
Indianapolis, IN 46227-7215
Phone (317) 882-5122

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39005247AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Child Mental Health Center Inc Mental Health Current Accepting new patients
Adult and Child Mental Health Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Adult and Child Mental Health Center Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

8404 Siear Ter
Ste 100
Indianapolis, IN 46227
Phone (877) 882-5122

8320 Madison Ave
Indianapolis, IN 46227
Phone (317) 881-7061

8404 Siear Ter
Indianapolis, IN 46227
Phone (317) 887-7033

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1295544427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 SIEAR TER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277215",
            "telephone_number": "317-882-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 SIEAR TER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277215",
            "telephone_number": "317-882-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005247A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.