Individual provider Active NPI

Rebecca Lynn Madeen, LCSW

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1952541294
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2989 Issued in ND
Practice address
2470 Saint Rose Pkwy Ste 302
Henderson, NV 89074-7776
Phone
(701) 226-6569
NPI assigned
Feb 26, 2009
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2989 ND Primary

Addresses

Primary practice location

2470 Saint Rose Pkwy Ste 302
Henderson, NV 89074-7776

Mailing address

2470 Saint Rose Pkwy Ste 302
Henderson, NV 89074-7776
Phone (701) 226-6569

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL solacecounselingnv@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170518002499 NV Practitioner - Clinical Social Worker 4284791534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2470 Saint Rose Pkwy
Suite 302
Henderson, NV 89074-7776
Phone (701) 226-6569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Counseling LLC Clinical CurrentSince Dec 16, 2024 Accepting new patients
Soul Survivor Counseling Services PC Past Accepting new patients

Locations

2470 Saint Rose Pkwy
Ste 302
Henderson, NV 89074
Phone (701) 226-6569

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1952541294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 SAINT ROSE PKWY STE 302",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747776",
            "telephone_number": "701-226-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SAINT ROSE PKWY STE 302",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747776",
            "telephone_number": "701-226-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEEN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "2989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "solacecounselingnv@gmail.com",
            "affiliation": "N",
            "address_1": "2470 Saint Rose Pkwy Ste 302",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890747776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.