Alissa Madsen

Primary specialty

Social WorkerTaxonomy code 104100000X

License

60804 Issued in TX

Practice address

12042 Bittern Holw
Austin, TX 78758-3350

Phone

(512) 730-2100

NPI assigned

Feb 5, 2016

Last updated

Feb 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, ID2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  ID, TX

  Medicare reassignment NPD
• Calm Reflections Therapy, PLLC

  • Clinical Social Worker
  • Pflugerville, TX
  • NPI 1134995202
  NPD Authorized official

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1780042655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 BITTERN HOLW",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 BITTERN HOLW",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583350",
            "telephone_number": "512-730-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "ALISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "60804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole R Madison, DDS
• Carissa Madrid, FNP
• Destiny Madrid
• Vanessa Madrid, PMHNP-BC
• Daisy Annette Madrigal
• Carly Madsen
• Catherine Madsen, DPT
• Lisa Leah Madsen, M.D.
• Michelle Shelley Madsen, RD,LD,CDE
• Nkeiruka Oduagu Madubueze, PMHNP-BC

• Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.