Adelle Rae Madison, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.0007295 Issued in OH

Practice address

7105 Herbert Rd
Canfield, OH 44406-8660

Phone

(330) 533-6848

NPI assigned

May 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1497378194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 LYDIA LN",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068405",
            "telephone_number": "330-507-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 HERBERT RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068660",
            "telephone_number": "330-533-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "ADELLE",
        "middle_name": "RAE",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0007295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lucurell
• M Alexandrunas D Hudoba Dental 1 Inc (Premier Dental of Canfield)
• Lacey Dru Maass, LPN
• Ashley Macchione
• Alexandra Madeline, MA CCC-SLP
• Vincent Maffei, LSW, MSW
• Darlene A Mager, D.O.
• Kristina Manis
• Sandra L Marin-Reay, CRNA
• Megan Marino

• Mental Health Counselor in Canfield, OH
• Providers in Canfield, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.