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MADISON RAINES
NPI 1437641594
Counselor in Spencer, WV

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
811 MADISON AVE, SPENCER, WV 25276(304) 927-0015(304) 927-0017 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Madison Raines NPPES

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

MADISON RAINES (NPI 1437641594) is an individual counselor in Spencer, West Virginia and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437641594
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMADISON RAINES
Location Address811 MADISON AVESpencer, WV 25276-1900
Mailing Address811 Madison AveSpencer, WV 25276-1900 · (304) 927-0015 · Fax (304) 927-0017
Phone(304) 927-0015
Fax(304) 927-0017
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 5, 2018
✔ NPI 1437641594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
811 MADISON AVE, Spencer, WV 25276
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

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

Madison Raines 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 ID4284012121
PECOS Enrollment IDI20220603002505
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
74 services13 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
26 services12 patients

Other Providers at the Same Location NPPES 4

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

ROANE COUNTY COMMITTEE ON AGING
Homemaker
811 MADISON AVE
SPENCER, WV 25276
Roane County (304) 927-1997
ROANE COUNTY COMMITTEE ON AGING, INC.
Technician (Personal Care Attendant)
811 MADISON AVE
SPENCER, WV 25276
Roane County (304) 927-1997
DANA BEAVER
Social Worker
811 MADISON AVE
SPENCER, WV 25276
Roane County (304) 927-0015
ROANE COUNTY COMMITTEE ON AGING, INC.
Non-emergency Medical Transport (VAN)
811 MADISON AVE
SPENCER, WV 25276
Roane County (304) 927-1997

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 Raines's NPI number?

The NPI number for Madison Raines is 1437641594. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Madison Raines located?

Madison Raines practices at 811 Madison Ave, Spencer, WV 25276. The listed phone number is (304) 927-0015.

What is Madison Raines's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Madison Raines enrolled in Medicare?

Yes. Madison Raines 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.

What insurance does Madison Raines accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Madison Raines 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 Madison Raines was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.