Individual provider Active NPI

Madison Taylor West

  • Marriage & Family Therapist
  • Kennesaw, GA
National Provider Identifier
1447539960
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001316 Issued in GA
Practice address
1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777
Phone
(678) 740-3578
NPI assigned
Aug 15, 2011
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 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 MFT001316 GA Primary

Addresses

Primary practice location

1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777

Mailing address

1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777
Phone (678) 740-3578

Other practice location 1

540 Powder Springs St Ste D21
Marietta, GA 30064-3561
Phone (678) 740-3578

Other names 1

  • Madison Taylor Fenton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260113000304 GA Practitioner - Marriage and Family Therapist 6608352364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1690 Stone Village LN NW
Suite 622
Kennesaw, GA 30152-7777
Phone (678) 740-3578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT001316GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Wellness LLC Marriage & Family Therapist CurrentSince Nov 25, 2025 Accepting new patients

Locations

1690 Stone Village Ln NW
Ste 622
Kennesaw, GA 30152
Phone (678) 404-1937

540 Powder Springs St
Ste D21
Marietta, GA 30064
Phone (404) 889-0325

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, 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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1447539960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 622",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "678-740-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 622",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "678-740-3578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Powder Springs St Ste D21",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300643561",
            "country_code": "US",
            "telephone_number": "678-740-3578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "MADISON",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "FENTON",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.