Individual provider Active NPI

Kailey Alese Madeja, LPC

  • Professional Counselor
  • Waynesboro, VA
National Provider Identifier
1891327474
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013044 Issued in VA
Practice address
300 Chestnut Ave
Waynesboro, VA 22980-4702
Phone
(540) 227-7066
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013044 VA Primary

Addresses

Primary practice location

300 Chestnut Ave
Waynesboro, VA 22980-4702

Mailing address

300 Chestnut Ave
Waynesboro, VA 22980-4702
Phone (540) 227-7066

Other names 1

  • Kailey Alese Liverman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240214001025 DC Practitioner - Mental Health Counselor 7214371673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Johns Hopkins University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2100 Washington Blvd
Arlington, VA 22204-5717
Phone (703) 228-1611

2100 Washington Blvd
Suite 400
Arlington, VA 22204-5703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1891327474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHESTNUT AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804702",
            "telephone_number": "540-227-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHESTNUT AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804702",
            "telephone_number": "540-227-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEJA",
        "first_name": "KAILEY",
        "middle_name": "ALESE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILEY",
            "last_name": "LIVERMAN",
            "middle_name": "ALESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.