Active NPI
Jasmine Madden
- Mental Health Counselor
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5078
- Practice address
- 2840 Tuskawilla Rd
Oviedo, FL 32765-5063 - Phone
- (407) 274-7067
- NPI assigned
- Sep 4, 2014
- Last updated
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5078 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Life Counseling Services, PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oviedo, FL
- NPI 1427761501
-
- Community/Behavioral Health Agency
- Altamonte Springs, FL
- NPI 1922145184
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.