EVELYN O MADIEBO CMHT
NPI 1134705288
Counselor - Mental Health in Brandon, MS

Active since March 19, 2021
613 MARQUETTE RD, BRANDON, MS 39042(601) 825-8800(601) 824-0349 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evelyn O Madiebo Cmht NPPES

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

EVELYN O MADIEBO CMHT (NPI 1134705288) is an individual mental health provider in Brandon, Mississippi, licensed in Mississippi (CMHT1639) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1134705288
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEVELYN O MADIEBOCredential: CMHT
Location Address613 MARQUETTE RDBrandon, MS 39042-3038
Mailing Address613 Marquette RdBrandon, MS 39042-3038 · (601) 825-8800
Fax(601) 824-0349
Sole ProprietorYes
Enumeration DateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
NPI 1134705288 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 · CMHT1639
613 MARQUETTE RD, Brandon, MS 39042

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.

Nurse Practitioner (Psychiatric/Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Counselor
613 MARQUETTE RD
BRANDON, MS 39042
Counselor (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042
Occupational Therapist (Mental Health)
613 MARQUETTE RD
BRANDON, MS 39042

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 Evelyn Madiebo's NPI number?

The NPI number for Evelyn Madiebo is 1134705288. It was assigned to this individual provider in the NPPES registry on March 19, 2021.

Where is Evelyn Madiebo located?

Evelyn Madiebo practices at 613 Marquette Rd, Brandon, MS 39042. The listed phone number is (601) 825-8800.

What is Evelyn Madiebo's specialty?

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

When was this NPI record last updated?

The NPPES record for Evelyn Madiebo was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.