Active NPI
Jennie Grace Madden, BCBA
- Behavior Analyst
- Elizabethtown, NC
National Provider Identifier
1821892704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-80377
- Practice address
- 228 W Broad St
Elizabethtown, NC 28337 - Phone
- (910) 789-0258
- NPI assigned
- Apr 1, 2025
- Last updated
- Oct 5, 2026
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-80377 | NC | Primary |
Addresses
Primary practice location
228 W Broad St
Elizabethtown, NC 28337
Mailing address
3464 Lewis Loop Rd SE
Bolivia, NC 28422-7560
Phone (910) 789-0258
Other practice location 1
50101 Governors Dr
Chapel Hill, NC 27517-9515
Phone (928) 223-3508
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Caring Heart Case Management, Inc. | Past | Accepting new patients | |
| A Caring Heart Case Management, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Wilson, NC
- NPI 1265240741
-
- Developmentally Disabled Services Day Training Agency
- Wilson, NC
- NPI 1447300058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1821892704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 LEWIS LOOP RD SE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284227560",
"telephone_number": "910-789-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 W BROAD ST",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "28337",
"telephone_number": "910-789-0258"
}
],
"practiceLocations": [
{
"address_1": "50101 Governors Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275179515",
"country_code": "US",
"telephone_number": "928-223-3508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADDEN",
"first_name": "JENNIE",
"middle_name": "GRACE",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-25-80377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.