Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MADISON BERESFORD PHD
NPI 1215392659
Counselor - Pastoral in Wake Forest, NC

Q: What is Madison Beresford's NPI number?

The NPI number for Madison Beresford is 1215392659. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Q: What is Madison Beresford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

Q: When was this NPI record last updated?

The NPPES record for Madison Beresford was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since December 30, 2015

3204 HERITAGE TRADE DR STE 100, WAKE FOREST, NC 27587(919) 885-6232 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 11, 2026, Dec 31, 2015 (2 updates tracked since 2015).

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About Dr. Madison Beresford Phd NPPES

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

DR. MADISON BERESFORD PHD (NPI 1215392659) is an individual pastoral provider in Wake Forest, North Carolina and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1215392659

Entity TypeIndividualMale

Primary Taxonomy101YP1600X

Provider Legal NameDR. MADISON BERESFORDCredential: PHD

Location Address3204 HERITAGE TRADE DR STE 100Wake Forest, NC 27587-4055

Mailing Address3204 Heritage Trade Dr Ste 100Wake Forest, NC 27587-4055 · (919) 885-6232

Phone(919) 885-6232

Sole ProprietorNo

Enumeration DateDecember 30, 2015

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1215392659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers

Taxonomy Code101YP1600X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

3204 HERITAGE TRADE DR STE 100, Wake Forest, NC 27587

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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 Beresford's NPI number?

The NPI number for Madison Beresford is 1215392659. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Madison Beresford located?

Madison Beresford practices at 3204 Heritage Trade Dr Ste 100, Wake Forest, NC 27587. The listed phone number is (919) 885-6232.

What is Madison Beresford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Madison Beresford was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.