Individual provider Active NPI

Madison K Housden, LCSW

  • Mental Health Counselor
  • Eustis, FL
National Provider Identifier
1316751308
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW24217 Issued in FL
Practice address
611 Mount Homer Rd Apt 52
Eustis, FL 32726-6266
Phone
(352) 871-2575
NPI assigned
Feb 3, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW24217 FL Primary
Clinical Social Worker 1041C0700X SW24217 FL

Addresses

Primary practice location

611 Mount Homer Rd Apt 52
Eustis, FL 32726-6266

Mailing address

611 Mount Homer Rd Apt 52
Eustis, FL 32726-6266
Phone (352) 871-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260220000963 FL Practitioner - Clinical Social Worker 2769963545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivy Bridge Counseling IncGroup PAC ID 4789170044, 2 clinicians

Practice addresses (Care Compare)

587 E Sr
434 Unit 1021B
Longwood, FL 32750-5284
Phone (407) 308-2994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24217FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Bridge Counseling, Inc. Mental Health CurrentSince Jan 7, 2026 Accepting new patients
Bridges Community Support Services, Inc Past Accepting new patients

Locations

587 E Sr 434
Unit 1021B
Longwood, FL 32750
Phone (407) 308-2994

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1316751308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MOUNT HOMER RD APT 52",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266266",
            "telephone_number": "352-871-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MOUNT HOMER RD APT 52",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266266",
            "telephone_number": "352-871-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSDEN",
        "first_name": "MADISON",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW24217",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.