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KELLI ANN MADDEN
NPI 1891656237
Counselor - Mental Health in Wyandanch, NY

Active since November 24, 2025PECOS EnrolledAccepts Medicare Assignment
240 LONG ISLAND AVE, WYANDANCH, NY 11798(631) 782-6200 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelli Ann Madden NPPES

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

KELLI ANN MADDEN (NPI 1891656237) is an individual mental health provider in Wyandanch, New York, licensed in New York (016965) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891656237
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLI ANN MADDEN
Location Address240 LONG ISLAND AVEWyandanch, NY 11798-3123
Mailing Address1 Route 109West Babylon, NY 11704-6207
Phone(631) 782-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1891656237 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 NY · 016965
240 LONG ISLAND AVE, Wyandanch, NY 11798
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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 and accepts Medicare assignment

Kelli Ann Madden 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 ID3476031410
PECOS Enrollment IDI20260130002198
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.

MS. MICHELLE LAUREN GANSHAW LCSW
Social Worker (Clinical)
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
ASHLEY BERRY LCSW-R
Social Worker (Clinical)
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
IVY BULLOCK
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
MS. DELMA DAWN TAYLOR LMSW
Social Worker (Clinical)
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8280
SERENA MARIE MANGINO LMSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
HARRISON GRIMM MSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8250
ALLISON EBERLE LMSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 782-6200
MS. GINGER GALVEZ LMSW
Social Worker
240 LONG ISLAND AVE
WYANDANCH, NY 11798
Suffolk County (631) 920-8280

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 Kelli Madden's NPI number?

The NPI number for Kelli Madden is 1891656237. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Kelli Madden located?

Kelli Madden practices at 240 Long Island Ave, Wyandanch, NY 11798. The listed phone number is (631) 782-6200.

What is Kelli Madden's specialty?

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

Is Kelli Madden enrolled in Medicare?

Yes. Kelli Madden 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.

When was this NPI record last updated?

The NPPES record for Kelli Madden was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.