Active NPI
Madison June Medley, SOCIAL WORKER
- Counselor
- Wichita, KS
National Provider Identifier
1679049589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3223 N Oliver St.
Wichita, KS 67220 - Phone
- (316) 267-5437
- Fax
- (316) 267-5444
- NPI assigned
- Oct 17, 2018
- Last updated
- Jul 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3223 N Oliver St.
Wichita, KS 67220
Mailing address
3223 N Oliver St.
Wichita, KS 67220
Phone (316) 267-5437
Other names 1
- Madison Burt
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1679049589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 N OLIVER ST.",
"city": "WICHITA",
"state": "KS",
"postal_code": "67220",
"telephone_number": "316-267-5437",
"fax_number": "316-267-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 N OLIVER ST.",
"city": "WICHITA",
"state": "KS",
"postal_code": "67220",
"telephone_number": "316-267-5437",
"fax_number": "316-267-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLEY",
"first_name": "MADISON",
"middle_name": "JUNE",
"credential": "SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "BURT",
"credential": "SOCIAL WORKER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.