Individual provider Active NPI

Jasmine Madden

  • Mental Health Counselor
  • Oviedo, FL
National Provider Identifier
1639570013
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5078 Issued in TN
Practice address
2840 Tuskawilla Rd
Oviedo, FL 32765-5063
Phone
(407) 274-7067
NPI assigned
Sep 4, 2014
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5078 TN Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2840 Tuskawilla Rd
Oviedo, FL 32765-5063

Mailing address

2000 Mallory LN Ste 290
Franklin, TN 37067-6287
Phone (407) 274-7067

Other practice location 1

801 Douglas Ave Ste 208
Altamonte Springs, FL 32714-5206
Phone (407) 830-6412

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

State licenses

LicenseStateTypeSpecialty
5078TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Counseling Services, PLLC CurrentSince Jan 8, 2023 Accepting new patients
Behavioral Support Services, Inc. Past Accepting new patients

Locations

2840 Tuskawilla Rd
Oviedo, FL 32765
Phone (407) 274-7067

2000 Mallory Ln
Ste 290
Franklin, TN 37067
Phone (615) 236-6408

Organizations & group practices 2

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1639570013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MALLORY LN STE 290",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676287",
            "telephone_number": "407-274-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 TUSKAWILLA RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655063",
            "telephone_number": "407-274-7067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Douglas Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327145206",
            "country_code": "US",
            "telephone_number": "407-830-6412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5078",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.