Individual provider Active NPI

Madison Giles, LMHC

  • Mental Health Counselor
  • Evansville, IN
National Provider Identifier
1356827703
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005213A Issued in IN
Practice address
1602 N Fares Ave
Evansville, IN 47711-3952
Phone
(812) 437-9355
Fax
(812) 437-7155
NPI assigned
Jul 18, 2018
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 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 39005213A IN Primary

Addresses

Primary practice location

1602 N Fares Ave
Evansville, IN 47711-3952

Mailing address

1602 N Fares Ave
Evansville, IN 47711-3952
Phone (812) 437-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241205000400 IN Practitioner - Mental Health Counselor 9537695267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gentox Wellness Clinic LLCGroup PAC ID 1951778281, 2 clinicians

Practice addresses (Care Compare)

1602 N Fares Ave
Evansville, IN 47711-3952
Phone (812) 437-3784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39005213AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Good Samaritan Family Health Center, Inc CurrentSince Nov 19, 2024 Accepting new patients
Gentox Wellness Clinic LLC CurrentSince Jun 26, 2025 Accepting new patients
Gentox Wellness Clinic LLC Current Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients

Locations

1602 N Fares Ave
Evansville, IN 47711
Phone (812) 437-3784

611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

1901 Willow St
Vincennes, IN 47591
Phone (812) 885-2720

300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510

515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907

2007 State St
Washington, IN 47501
Phone (812) 254-1558

Organizations & group practices 6

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1356827703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N FARES AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477113952",
            "telephone_number": "812-437-9355",
            "fax_number": "812-437-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N FARES AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477113952",
            "telephone_number": "812-437-9355",
            "fax_number": "812-437-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "MADISON",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005213A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.