Individual provider Active NPI

Madison Longchamp

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1740770080
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6756 Jamestown Dr
Alpharetta, GA 30005-3030
Phone
(706) 431-5390
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

6756 Jamestown Dr
Alpharetta, GA 30005-3030

Mailing address

6756 Jamestown Dr
Alpharetta, GA 30005-3030
Phone (706) 431-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250830000620 GA Practitioner - Mental Health Counselor 4789185778 Practice locations: Alpharetta, GA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Alpharetta, GA 30005
Phone (706) 431-5390

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Longchamp LLC Professional CurrentSince Jun 14, 2025 Accepting new patients

Locations

4080 McGinnis Ferry Rd
Ste 104
Alpharetta, GA 30005
Phone (404) 913-3533

6756 Jamestown Dr
Alpharetta, GA 30005
Phone (706) 431-5390

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1740770080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 JAMESTOWN DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053030",
            "telephone_number": "706-431-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6756 JAMESTOWN DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053030",
            "telephone_number": "706-431-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGCHAMP",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.