Kelli Ann Madden

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

016965 Issued in NY

Practice address

240 Long Island Ave
Wyandanch, NY 11798-3123

Phone

(631) 782-6200

NPI assigned

Nov 24, 2025

Last updated

Nov 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Federation of Organizations for the Ny State Mentally Disabled, IncGroup PAC ID 6800823782, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Federation of Organizations for the Ny State Mentally Disabled Inc

  • Community/Behavioral Health Agency
  • West Babylon, NY
  • NPI 1346433307
  Medicare reassignment Care Compare group
• Risewell Community Services

  • Clinic/Center
  • Wyandanch, NY
  • NPI 1275927600
  NPD
• Risewell Community Services

  • Counselor
  • Copiague, NY
  • NPI 1396102091
  NPD

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1891656237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LONG ISLAND AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983123",
            "telephone_number": "631-782-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "016965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Pressley
• Data Longjohn, MD
• Loving Arms Inc.
• Sunubia J Lucas
• Martine Macdonald
• Eugenia Manganas-Scialpi, CASAC
• Dylan Mangano
• Serena Marie Mangino, LMSW
• Belinda Agharese Marquis, MD
• Maxcen Housing Society Inc., New York Branch

• Mental Health Counselor in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.