MADELINE PATALANO LPC, LPA
NPI 1083807192
Counselor - Mental Health in Fayetteville, NC

Active since August 22, 2007Opted out of Medicare · through Jan 1, 2028
1304 AULTROY DR, FAYETTEVILLE, NC 28306(910) 850-1274(888) 588-7183 Get Directions Write a Review

NPPES record last updated: February 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 15, 2020, Oct 23, 2019 (2 updates tracked since 2019).

About Madeline Patalano Lpc, Lpa NPPES

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

MADELINE PATALANO LPC, LPA (NPI 1083807192) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (6724) and active in the NPI registry since August 2007. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Fountain.

NPPES Registry Identity

NPI1083807192
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADELINE PATALANOCredential: LPC, LPA
Location Address1304 AULTROY DRFayetteville, NC 28306-3562
Mailing Address1304 Aultroy DrFayetteville, NC 28306-3562 · (910) 850-1274 · Fax (888) 588-7183
Fax(888) 588-7183
Sole ProprietorYes
Enumeration DateAugust 22, 2007
Last NPPES UpdateFebruary 15, 20202 updates tracked since enumeration
NPI 1083807192 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 NC · 6724
1304 AULTROY DR, Fayetteville, NC 28306

Secondary Practice Location 1

Location 11139 Cailin WayFountain, CO 80817-4725 · Phone (910) 850-1274 · Fax (888) 588-7183

Other Identifiers 1

Medicaid6103762NC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Madeline Patalano Lpc, Lpa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1304 AULTROY DR
FAYETTEVILLE, NC 28306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083807192, enumerated as an "individual" on August 22, 2007.

The provider is located at 1304 AULTROY DR FAYETTEVILLE, NC 28306 and the phone number is (910) 850-1274.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Blue Cross and. Please consult your insurance carrier or call the provider to verify.