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MADISON LOCK CMHC
NPI 1174173264
Counselor - Mental Health in Staten Island, NY

Active since September 19, 2019PECOS Enrolled
285 VANDERBILT AVE, STATEN ISLAND, NY 10304(718) 981-4382(718) 981-2054 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Lock Cmhc NPPES

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

MADISON LOCK CMHC (NPI 1174173264) is an individual mental health provider in Staten Island, New York and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174173264
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON LOCKCredential: CMHC
Location Address285 VANDERBILT AVEStaten Island, NY 10304-2525
Mailing Address285 Vanderbilt AveStaten Island, NY 10304-2525 · (718) 981-4382 · Fax (718) 981-2054
Phone(718) 981-4382
Fax(718) 981-2054
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 19, 2019
✔ NPI 1174173264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
285 VANDERBILT AVE, Staten Island, NY 10304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Lock Cmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395187843
PECOS Enrollment IDI20240529002669
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.

JOSEPH ROBERT MESSANO
Social Worker (Clinical)
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382
JESSICA MEGAN FLORES
Counselor (Mental Health)
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382
JANA MIREILLE DUFORT MS
Marriage & Family Therapist
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382
MELISSA MUSTACCHIA CASAC-T
Counselor (Addiction (Substance Use Disorder))
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382
MS. EDWIDGE MONDESIR CASAC
Counselor (Addiction (Substance Use Disorder))
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382
MR. ROBERT CRISALLI CASAC
Counselor (Addiction (Substance Use Disorder))
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382
EDWARD DAVIS CASAC
Counselor (Addiction (Substance Use Disorder))
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382
MS. MARISSA ANN OGINSKY
Counselor
285 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 981-4382

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 Lock's NPI number?

The NPI number for Madison Lock is 1174173264. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Madison Lock located?

Madison Lock practices at 285 Vanderbilt Ave, Staten Island, NY 10304. The listed phone number is (718) 981-4382.

What is Madison Lock's specialty?

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

Is Madison Lock enrolled in Medicare?

Yes. Madison Lock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Lock was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.