Individual provider Active NPI

Jennifer Madden, LCMFT

  • Marriage & Family Therapist
  • Atchison, KS
National Provider Identifier
1568079614
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03221 Issued in KS
Practice address
1642 Main Street #3
Atchison, KS 66002-2440
Phone
(913) 702-8876
NPI assigned
Sep 23, 2020
Last updated
Jun 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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 03221 KS Primary

Addresses

Primary practice location

1642 Main Street #3
Atchison, KS 66002-2440

Mailing address

410 Riley St
Atchison, KS 66002-1954
Phone (913) 426-3386

Other practice location 1

104 N 6th St Ste 7
Atchison, KS 66002-2440
Phone (913) 426-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JM Therapy LLC Marriage & Family Therapist Current Accepting new patients

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1568079614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 RILEY ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021954",
            "telephone_number": "913-426-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 MAIN STREET #3",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022440",
            "telephone_number": "913-702-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N 6th St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660022440",
            "country_code": "US",
            "telephone_number": "913-426-3386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JENNIFER",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; 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.