Madison Harris Valentine

Primary specialty

CounselorTaxonomy code 101Y00000X

License

RESIDENT Issued in VA

Practice address

2850 Eisenhower Ave Ste 105
Alexandria, VA 22314-4567

Phone

(844) 947-3326

NPI assigned

Oct 12, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Wise Mind Solutions, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Alexandria, VA
  • NPI 1326651936
  NPD

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1972265346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 EISENHOWER AVE STE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144567",
            "telephone_number": "844-947-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 EISENHOWER AVE STE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144567",
            "telephone_number": "844-947-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "MADISON",
        "middle_name": "HARRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "RESIDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Medical Supplies
• Megan Michelle Vaganek, PHD
• Lillian M Vagnoni, LCSW
• Mitsu Vaidya, PHYSICAL THERAPIST
• Beryl Faustina Valentine, MD
• Rachel Elizabeth Valerio
• Value Home Care , LLC
• Van Dorn Pediatrics, PC
• Hannah Van Nostrand
• Saskia Van Terheyden, MD

• Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.