SUSIE MARIE MADISON LPC
NPI 1104599356
Counselor - Professional in Richardson, TX
About Susie Marie Madison Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSIE MARIE MADISON LPC (NPI 1104599356) is an individual professional provider in Richardson, Texas, licensed in Oregon (C7098) and active in the NPI registry since July 2021. She has opted out of Medicare through January 11, 2028 and maintains a secondary practice location in Tigard.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Susie Marie Madison Lpc 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 11, 2024 through January 11, 2028.
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 Susie Madison's NPI number?
The NPI number for Susie Madison is 1104599356. It was assigned to this individual provider in the NPPES registry on July 25, 2021.
Where is Susie Madison located?
Susie Madison practices at 1136 N Cottonwood Dr, Richardson, TX 75080. The listed phone number is (972) 730-6444.
What is Susie Madison's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Susie Madison enrolled in Medicare?
No. Susie Madison has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Susie Madison accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Susie Madison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Susie Madison was last updated on January 10, 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.
# Susie Marie Madison, LPC · NPI 1104599356
Professional provider in Richardson, Texas. Individual provider, active in the CMS NPPES registry since July 25, 2021.
## Identity
- **NPI:** 1104599356 (Entity type: Individual)
- **Enumerated:** July 25, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C7098 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1136 N COTTONWOOD DR, Richardson, TX 75080-3762
- **Phone:** (972) 730-6444
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 11, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104599356) · Data from the CMS NPPES public registry.