Madison Noel Janke, R-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

900 Ship Pond Rd
Plymouth, MA 02360-1849

Phone

(469) 600-3709

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Feb 15, 2024 through Feb 15, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1518575950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SPRUCE ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721902",
            "telephone_number": "469-600-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SHIP POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023601849",
            "telephone_number": "469-600-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKE",
        "first_name": "MADISON",
        "middle_name": "NOEL",
        "credential": "R-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lee Jackson
• Rachel King Jacobs, L.M.T.
• James E Callahan DDS PC
• Scott D James, D.O.
• Janina Kean Associates LLC (Janina Kean Associates)
• Loren Michelle Jarman, LMHC
• Melissa Hope Jaspon
• Ashley Jean Pierre
• Marjorie Jean, M.ED
• Amanda Nichole Jednak

• Mental Health Counselor in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.