DR. MADISON FARRELL III PHD, LPC
NPI 1053362061
Counselor - Professional in Summerville, SC

Q: What is Madison Farrell's NPI number?

The NPI number for Madison Farrell is 1053362061. It was assigned to this individual provider in the NPPES registry on May 14, 2006.

Q: What is Madison Farrell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Madison Farrell was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 14, 2006PECOS Enrolled

709 OLD TROLLEY RD, SUMMERVILLE, SC 29485(843) 900-6767(843) 285-5916 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Madison Farrell Iii Phd, Lpc NPPES

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

DR. MADISON FARRELL III PHD, LPC (NPI 1053362061) is an individual professional provider in Summerville, South Carolina, licensed in South Carolina (4628) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053362061

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. MADISON FARRELL IIICredential: PHD, LPC

Location Address709 OLD TROLLEY RDSummerville, SC 29485-5203

Mailing Address709 Old Trolley RdSummerville, SC 29485-5203 · (843) 900-6767 · Fax (843) 285-5916

Phone(843) 900-6767

Fax(843) 285-5916

Sole ProprietorYes

Enumeration DateMay 14, 2006

Last NPPES UpdateMarch 6, 2024

✔ NPI 1053362061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 4628

709 OLD TROLLEY RD, Summerville, SC 29485

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madison Farrell Iii Phd, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Farrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling And Consultation Services Of The Carolinas, LLC

Same address

Professional

709 OLD TROLLEY RD
Summerville, SC 29485

Reassigned Medicare billing, South Carolina enrollment

NPI 1861709685 (843) 900-6767

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 19

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

BRIAN D MUSOLF LPC

Counselor (Professional)