Individual provider Active NPI

Madaline Wright

  • Mental Health Counselor
  • Deland, FL
National Provider Identifier
1932809860
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
120 E New York Ave Ste C
Deland, FL 32724-5527
Phone
(386) 738-5543
NPI assigned
Mar 8, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

120 E New York Ave Ste C
Deland, FL 32724-5527

Mailing address

120 E New York Ave Ste C
Deland, FL 32724-5527
Phone (386) 738-5543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251029001737 FL Practitioner - Mental Health Counselor 8820587991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fiveshine CorporationGroup PAC ID 2961923198, 7 clinicians

Practice addresses (Care Compare)

3680 Avalon Park E Blvd
301 Ellie Mental Health
Orlando, FL 32828-9372
Phone (407) 928-1425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Devereux Foundation CurrentSince Nov 7, 2025 Accepting new patients
Fiveshine Corporation CurrentSince Nov 3, 2025 Accepting new patients
Devereux Foundation, Inc. CurrentSince Mar 12, 2023 Accepting new patients

Locations

120 E New York Ave
Ste C
Deland, FL 32724
Phone (386) 285-8046

3680 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 513-2729

3680 E Avalon Park Blvd
Ste 301
Orlando, FL 32828
Phone (321) 351-4925

Organizations & group practices 3

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1932809860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E NEW YORK AVE STE C",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245527",
            "telephone_number": "386-738-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E NEW YORK AVE STE C",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245527",
            "telephone_number": "386-738-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MADALINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.