Individual provider Active NPI

Madison Lynne Henry, LPC

  • Professional Counselor
  • Wexford, PA
National Provider Identifier
1952247538
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC019952 Issued in PA
Practice address
6500 Brooktree Rd Ste 210
Wexford, PA 15090-9272
Phone
(724) 719-2669
Fax
(724) 719-2521
NPI assigned
Apr 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 PC019952 PA Primary

Addresses

Primary practice location

6500 Brooktree Rd Ste 210
Wexford, PA 15090-9272

Mailing address

6500 Brooktree Rd Ste 210
Wexford, PA 15090-9272
Phone (724) 719-2669

Other identifiers 1

IdentifierTypeStateIssuer
PC019952OtherPAPA LPC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260512004614 PA Practitioner - Mental Health Counselor 4688143266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6500 Brooktree Rd
Suite 210
Wexford, PA 15090-9475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC019952PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revelations Counseling & Wellness Professional CurrentSince Apr 20, 2026 Accepting new patients

Locations

6500 Brooktree Rd
Ste 210
Wexford, PA 15090
Phone (412) 400-7605

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": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1952247538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROOKTREE RD STE 210",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909272",
            "telephone_number": "724-719-2669",
            "fax_number": "724-719-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKTREE RD STE 210",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909272",
            "telephone_number": "724-719-2669",
            "fax_number": "724-719-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MADISON",
        "middle_name": "LYNNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LPC LICENSE",
            "identifier": "PC019952",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.