Individual provider Active NPI

Terrence R Madsen, M.A.

  • Professional Counselor
  • Denison, TX
National Provider Identifier
1316095961
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10817 Issued in TX
Practice address
1105 Memorial Dr
Suite 202
Denison, TX 75020-2177
Phone
(903) 337-0343
Fax
(903) 337-0526
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10817 TX Primary

Addresses

Primary practice location

1105 Memorial Dr
Suite 202
Denison, TX 75020-2177

Mailing address

1105 Memorial Dr
Suite 202
Denison, TX 75020-2177
Phone (903) 337-0343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218004249 TX Practitioner - Mental Health Counselor 0749630630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Psychological Development IncGroup PAC ID 5395929384, 28 clinicians

Practice addresses (Care Compare)

1105 Memorial Dr
Suite 202
Denison, TX 75020-2043
Phone (903) 337-0343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10817TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Development, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1105 Memorial Dr
Ste 202
Denison, TX 75020
Phone (903) 337-0343

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1316095961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR",
            "address_2": "SUITE 202",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202177",
            "telephone_number": "903-337-0343",
            "fax_number": "903-337-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR",
            "address_2": "SUITE 202",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202177",
            "telephone_number": "903-337-0343",
            "fax_number": "903-337-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "TERRENCE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.