Individual provider Active NPI

Madalyne Suzanne Harris, LCPC

  • Professional Counselor
  • Salisbury, MD
National Provider Identifier
1447886205
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC13021 Issued in MD
Practice address
100 W Main St Ste 207
Salisbury, MD 21801-4876
Phone
(443) 783-8740
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP9996 MD
Professional Counselor 101YP2500X LC13021 MD Primary

Addresses

Primary practice location

100 W Main St Ste 207
Salisbury, MD 21801-4876

Mailing address

605 Irene Ave
Salisbury, MD 21801-6707
Phone (443) 783-8740

Other practice location 1

12145 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-2204

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240201001991 MD Practitioner - Mental Health Counselor 2769835131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 W Main St
Suite 207
Salisbury, MD 21801-4876
Phone (443) 783-4780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP9996MDMDCounselor
LC13021MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Works of Heart Therapy LLC Professional CurrentSince Jul 1, 2025 Accepting new patients

Locations

100 W Main St
Ste 207
Salisbury, MD 21801
Phone (443) 783-4780

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1447886205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 IRENE AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016707",
            "telephone_number": "443-783-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST STE 207",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014876",
            "telephone_number": "443-783-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12145 Elm St",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531358",
            "country_code": "US",
            "telephone_number": "410-651-2204",
            "fax_number": "410-651-0790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MADALYNE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP9996",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.