Individual provider Active NPI

Madison K Harlow, MA, LSC, LPC, NCC

  • Professional Counselor
  • Cheyenne, WY
National Provider Identifier
1851976591
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2622 Pioneer Ave
Cheyenne, WY 82001-3024
Phone
(970) 924-0582
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 359329 CO
Professional Counselor 101YP2500X 0017809 CO
Professional Counselor 101YP2500X WY Primary

Addresses

Primary practice location

2622 Pioneer Ave
Cheyenne, WY 82001-3024

Mailing address

2622 Pioneer Ave
Cheyenne, WY 82001-3024
Phone (970) 924-0582

Other practice location 1

2600 E 18th St
Cheyenne, WY 82001-5511
Phone (307) 633-7370

Other practice location 2

429 Edwards Access Rd Unit A205
Edwards, CO 81632-5559
Phone (970) 924-0582

Other names 1

  • Madison K Green Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mharlow53814@direct.crmcwy.org Direct Memorial Hospital of Laramie County
Direct Messaging Address mharlow53814@direct.crmcwy.org Health Information Exchange (HIE) Memorial Hospital of Laramie County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20240102001641 WY Practitioner - Mental Health Counselor 6204286347 Reassigns benefits to 1 organization
Practice locations: Cheyenne, WY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Laramie CountyGroup PAC ID 1557357555, 49 clinicians

Practice addresses (Care Compare)

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0017809COMDProfessional Counselor
359329COMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Laramie County CurrentSince Jan 1, 2024 Accepting new patients

Locations

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

2600 E 18th St
Cheyenne, WY 82001
Phone (307) 633-7370

2600 E 18th St
Fl 2
Cheyenne, WY 82001
Phone (307) 633-7321

Interoperability endpoints

  • Direct secure messaging: mharlow53814@direct.crmcwy.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1851976591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013024",
            "telephone_number": "970-924-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013024",
            "telephone_number": "970-924-0582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820015511",
            "country_code": "US",
            "telephone_number": "307-633-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 Edwards Access Rd Unit A205",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CO",
            "postal_code": "816325559",
            "country_code": "US",
            "telephone_number": "970-924-0582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "MADISON",
        "middle_name": "K",
        "credential": "MA, LSC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CO",
            "license": "359329",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017809",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mharlow53814@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mharlow53814@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "GREEN",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.