Individual provider Active NPI

Madeleine Dileonardo, M.ED, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1881140853
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00586600 Issued in NJ
Practice address
2334 S Broad St
Apt B
Philadelphia, PA 19145-4400
Phone
(609) 519-1212
NPI assigned
Aug 30, 2016
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009127 PA
Professional Counselor 101YP2500X 37PC00586600 NJ Primary

Addresses

Primary practice location

2334 S Broad St
Apt B
Philadelphia, PA 19145-4400

Mailing address

24 Lees Ave Ste 7-10
Collingswood, NJ 08108-2070
Phone (856) 240-0868

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 Education

State licenses

LicenseStateTypeSpecialty
37PC00586600NJMDProfessional Counselor
PC009127PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Soul Wellness Center LLC Professional CurrentSince Sep 27, 2020 Accepting new patients
Dileonardo Wellness Professional Current Accepting new patients

Locations

24 Lees Ave
Collingswood, NJ 08108
Phone (856) 240-0868

24 Lees Ave
Ste 710
Collingswood, NJ 08108
Phone (856) 240-0868

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.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1881140853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEES AVE STE 7-10",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082070",
            "telephone_number": "856-240-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 S BROAD ST",
            "address_2": "APT B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454400",
            "telephone_number": "609-519-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEONARDO",
        "first_name": "MADELEINE",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009127",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00586600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.