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MADISON M MEDLOCK
NPI 1053976928
Counselor in Wagoner, OK

Active since May 07, 2019
109 S HARRILL AVE, WAGONER, OK 74467(918) 485-0242(918) 485-0242 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison M Medlock NPPES

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

MADISON M MEDLOCK (NPI 1053976928) is an individual counselor in Wagoner, Oklahoma and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1053976928
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMADISON M MEDLOCK
Location Address109 S HARRILL AVEWagoner, OK 74467-5317
Mailing Address109 S Harrill AveWagoner, OK 74467-5317 · (918) 485-0242 · Fax (918) 485-0242
Phone(918) 485-0242
Fax(918) 485-0242
Sole ProprietorNo
Enumeration DateMay 7, 2019
✔ NPI 1053976928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
109 S HARRILL AVE, Wagoner, OK 74467
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Other Providers at the Same Location NPPES 20

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

DAYNA APPLEGATE
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
GARRETTE LEE MCCLURE M.S.
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
LORI KIM CHILDS LMSW-P
Social Worker (Clinical)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
TAREK SLEEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CRUZ RONDON
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
CREOKS MENTAL HEALTH SERVICES
Peer Specialist
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 382-7300
CLARESSA ARMER
Case Manager/Care Coordinator
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 485-0242
JOLIE DELMON
Counselor (Mental Health)
109 S HARRILL AVE
WAGONER, OK 74467
Wagoner County (918) 809-6710

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 Medlock's NPI number?

The NPI number for Madison Medlock is 1053976928. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Madison Medlock located?

Madison Medlock practices at 109 S Harrill Ave, Wagoner, OK 74467. The listed phone number is (918) 485-0242.

What is Madison Medlock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Madison Medlock was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.