MR. ANGELLO MADISON LPC
NPI 1760638043
Community/Behavioral Health in Suffolk, VA

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment
114 N MAIN ST STE 102A, SUFFOLK, VA 23434(757) 921-2762 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 9, 2021, May 18, 2017 (2 updates tracked since 2017).

About Mr. Angello Madison Lpc NPPES

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

MR. ANGELLO MADISON LPC (NPI 1760638043) is an individual community/behavioral health provider in Suffolk, Virginia, licensed in Virginia (07010007132) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1760638043
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameMR. ANGELLO MADISONCredential: LPC
Location Address114 N MAIN ST STE 102ASuffolk, VA 23434-4564
Mailing Address114 N Main St Ste 102aSuffolk, VA 23434-4564 · (757) 921-2762 · Fax (757) 257-1011
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 18, 2008
Last NPPES UpdateJuly 9, 20212 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
NPI 1760638043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in VA · 07010007132
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
114 N MAIN ST STE 102A, Suffolk, VA 23434

Other Names 1

Professional Name (2)Mr. Angello Madison

Accepted 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

Mr. Angello Madison Lpc 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 ID7911344924
PECOS Enrollment IDI20240326004306
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

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

Counselor (Professional)
114 N MAIN ST STE 102A
SUFFOLK, VA 23434

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 Angello Madison's NPI number?

The NPI number for Angello Madison is 1760638043. It was assigned to this individual provider in the NPPES registry on August 18, 2008. The provider is also known as Mr. Angello Madison.

Where is Angello Madison located?

Angello Madison practices at 114 N Main St Ste 102A, Suffolk, VA 23434. The listed phone number is (757) 921-2762.

What is Angello Madison's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Angello Madison enrolled in Medicare?

Yes. Angello Madison 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 Angello Madison accept?

Health plans from Providence Health Plan list Angello 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 Angello Madison was last updated on July 9, 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.