JERRY M MADDEN M.ED. LPC
NPI 1104009893
Counselor - Mental Health in Oxford, MS

Active since December 17, 2007PECOS EnrolledAccepts Medicare Assignment
152 HIGHWAY 7 S, OXFORD, MS 38655(662) 234-7521 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, May 11, 2021 (2 updates tracked since 2021).

About Jerry M Madden M.ed. Lpc NPPES

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

JERRY M MADDEN M.ED. LPC (NPI 1104009893) is an individual mental health provider in Oxford, Mississippi, licensed in Mississippi (0865) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1104009893
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERRY M MADDENCredential: M.ED. LPC
Location Address152 HIGHWAY 7 SOxford, MS 38655-5392
Mailing Address152 Highway 7 SOxford, MS 38655-5392
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 17, 2007
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
NPI 1104009893 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 MS · 0865
152 HIGHWAY 7 S, Oxford, MS 38655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerry M Madden M.ed. Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638604440
PECOS Enrollment IDI20241202003557
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 20

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

Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Professional)
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655

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 Jerry Madden's NPI number?

The NPI number for Jerry Madden is 1104009893. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Jerry Madden located?

Jerry Madden practices at 152 Highway 7 S, Oxford, MS 38655. The listed phone number is (662) 234-7521.

What is Jerry Madden's specialty?

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

Is Jerry Madden enrolled in Medicare?

Yes. Jerry Madden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jerry Madden was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.