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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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Madden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Risewell Community Services
Same address
Clinic/Center
240A LONG ISLAND AVE
Wyandanch, NY 11798
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Federation Of Organizations For The Ny State Mentally Disabled, Inc
  • 24 clinicians in this Medicare group
NPI 1275927600 (631) 782-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Kelli Madden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Madden reassigns Medicare benefits to Risewell Community Services (Wyandanch, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelli Madden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.