Individual provider Active NPI

Madeline Nicole Oliver Sawyers

  • Marriage & Family Therapist
  • Lafayette, IN
National Provider Identifier
1407402589
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002256A Issued in IN
Practice address
15 Executive Dr
Lafayette, IN 47905-3833
Phone
(317) 782-5504
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002256A IN Primary

Addresses

Primary practice location

15 Executive Dr
Lafayette, IN 47905-3833

Mailing address

6524 W 300 N
Earl Park, IN 47942-8670
Phone (804) 840-0940

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
I20250422001917 IN Practitioner - Marriage and Family Therapist 1850816968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center Inc CurrentSince Apr 8, 2025 Accepting new patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Apr 8, 2025 Accepting new patients

Locations

3002 E Wabash St
Frankfort, IN 46041

2796 N Apperson Way
Kokomo, IN 46901

1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

1 Landis Ln
Logansport, IN 46947

1015 Michigan Ave
Logansport, IN 46947

421 12th St
Logansport, IN 46947
Phone (574) 722-7407

2355 S Business 31
Peru, IN 46970

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

1 Zebra Ln
Rochester, IN 46975
Phone (574) 223-2159

417 S Chicago St
Royal Center, IN 46978

619 S Main St
Tipton, IN 46072

1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111

2418 Curtis Dr
Winamac, IN 46996
Phone (219) 946-7710

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1407402589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 W 300 N",
            "city": "EARL PARK",
            "state": "IN",
            "postal_code": "479428670",
            "telephone_number": "804-840-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EXECUTIVE DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479053833",
            "telephone_number": "317-782-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER SAWYERS",
        "first_name": "MADELINE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002256A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.