Individual provider Active NPI

Madison Taylor Foerderer, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1780343186
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2324 University Ave W Ste 120
Saint Paul, MN 55114-1854
Phone
(651) 644-4100
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MN Primary

Addresses

Primary practice location

2324 University Ave W Ste 120
Saint Paul, MN 55114-1854

Mailing address

1115 Elway St Apt 312
Saint Paul, MN 55116-3246
Phone (952) 266-9365

Other practice location 1

1115 Elway St Apt 312
Saint Paul, MN 55116-3246
Phone (612) 293-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1115 Elway St
Apt 312
Saint Paul, MN 55116-3246

1115 Elway St Apt
Suite 312
Saint Paul, MN 55116-3246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fraser Child and Family Center CurrentSince Dec 21, 2021 Accepting new patients
Fraser PastSince Dec 21, 2021 Accepting new patients

Locations

3333 University Ave SE
Minneapolis, MN 55414
Phone (612) 253-1139

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1780343186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELWAY ST APT 312",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163246",
            "telephone_number": "952-266-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY AVE W STE 120",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141854",
            "telephone_number": "651-644-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Elway St Apt 312",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551163246",
            "country_code": "US",
            "telephone_number": "612-293-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOERDERER",
        "first_name": "MADISON",
        "middle_name": "TAYLOR",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.