Jeanine Madsen, THERAPIST, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014963 Issued in MI

Practice address

37450 Schoolcraft Rd Ste 170
Livonia, MI 48150-1081

Phone

(734) 744-0170

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collaborative Health Center PLLCGroup PAC ID 3274828934, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Collaborative Health Center, PLLC

  • Clinical Psychologist
  • Livonia, MI
  • NPI 1609223825

  Professional

  Medicare reassignment Care Compare group NPD
• Peak Therapy LLC

  • Adult Mental Health Clinic/Center
  • Northville, MI
  • NPI 1245747609
  NPD Authorized official

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1700287851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18270 CASCADE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683287",
            "telephone_number": "734-776-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 SCHOOLCRAFT RD STE 170",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501081",
            "telephone_number": "734-744-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43825 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481882551",
            "country_code": "US",
            "telephone_number": "734-397-3088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38807 Ann Arbor Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481503896",
            "country_code": "US",
            "telephone_number": "734-772-0148",
            "fax_number": "734-943-6051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "JEANINE",
        "credential": "THERAPIST, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401014963",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mackay, CD(DONA)
• Kim Mackniesh
• Hannah Madden, RBT
• Kanchana Mala Madhavan, MD
• Gabriela Rose Madrid
• Kassie Maedge
• Emily Grace Magas
• Georgina Maggs
• Magnolia Mental Health PLLC
• Robert A Magrath

• Professional Counselor in Livonia, MI
• Providers in Livonia, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.