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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: July 19, 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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

What is Madison Appleba's NPI number?

The NPI number assigned to this healthcare provider is 1053287854, enumerated as an "individual" on October 17, 2025.

Where is the provider located?

The provider is located at 207 E MAIN ST STE 2E JOHNSON CITY, TN 37604 and the phone number is (423) 430-9362.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.