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MADISON NICHOLE APPLEBA LCSW
NPI 1053287854
Counselor - Mental Health in Johnson City, TN

Active since October 17, 2025PECOS Enrolled
207 E MAIN ST STE 2E, JOHNSON CITY, TN 37604(423) 430-9362(423) 830-0767 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madison Nichole Appleba Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON NICHOLE APPLEBA LCSW (NPI 1053287854) is an individual mental health provider in Johnson City, Tennessee, licensed in Tennessee (251S00000X) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053287854
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON NICHOLE APPLEBACredential: LCSW
Location Address207 E MAIN ST STE 2EJohnson City, TN 37604-5749
Mailing Address207 E Main St Ste 2eJohnson City, TN 37604-5749 · (423) 430-9362 · Fax (423) 830-0767
Phone(423) 430-9362
Fax(423) 830-0767
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1053287854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 251S00000X
207 E MAIN ST STE 2E, Johnson City, TN 37604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Nichole Appleba Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961971254
PECOS Enrollment IDI20260515001779
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Madison Appleba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tranquil Jc, LLC
3.1 mi
Community/Behavioral Health
2700 S ROAN ST STE 212
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 7 clinicians in this Medicare group
NPI 1316552060 (423) 430-9362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBERLI KYRA SHUPE MA, NCC
Counselor (Mental Health)
207 E MAIN ST STE 2E
JOHNSON CITY, TN 37604
Washington County (423) 430-9362
MRS. KYLEIGH BRIGHT
Social Worker (Clinical)
207 E MAIN ST STE 2E
JOHNSON CITY, TN 37604
Washington County (423) 209-0172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Appleba's NPI number?

The NPI number for Madison Appleba is 1053287854. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Where is Madison Appleba located?

Madison Appleba practices at 207 E Main St Ste 2E, Johnson City, TN 37604. The listed phone number is (423) 430-9362.

What is Madison Appleba's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Madison Appleba enrolled in Medicare?

Yes. Madison Appleba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Appleba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Appleba reassigns Medicare benefits to Tranquil Jc, LLC (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Appleba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Appleba accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Madison Appleba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madison Appleba was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.