Active NPI
William Charles Madden, LMHC, CEAP, MS
- Counselor
- Lafayette, IN
National Provider Identifier
1841520301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 39000233A
- Practice address
- 802 Columbia St
Lafayette, IN 47901-1439 - Phone
- (765) 742-0375
- Fax
- (765) 742-1039
- NPI assigned
- Jan 6, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 39000233A | IN | Primary |
Addresses
Primary practice location
802 Columbia St
Lafayette, IN 47901-1439
Mailing address
PO Box 5873
Lafayette, IN 47903-5873
Phone (765) 742-0375
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000233A | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1841520301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5873",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035873",
"telephone_number": "765-742-0375",
"fax_number": "765-742-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 COLUMBIA ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479011439",
"telephone_number": "765-742-0375",
"fax_number": "765-742-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "WILLIAM",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LMHC, CEAP, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "39000233A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.