DR. JACQUELINE JUANITA MADISON DMIN,MA, CAPS, LPC
NPI 1972040210
Counselor - Pastoral in Saint Louis, MO

Q: What is Jacqueline Madison's NPI number?

The NPI number for Jacqueline Madison is 1972040210. It was assigned to this individual provider in the NPPES registry on January 25, 2017. The provider is also known as Dr. Jacqueline J Madison Rev. Dr..

Q: What is Jacqueline Madison's specialty?

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

Active since January 25, 2017

5655 KINGSBURY AVE APT 909, SAINT LOUIS, MO 63112(314) 740-0903 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2023, Oct 17, 2022, Aug 26, 2021 and 1 more (4 updates tracked since 2017).

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About Dr. Jacqueline Juanita Madison Dmin,ma, Caps, Lpc NPPES

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

DR. JACQUELINE JUANITA MADISON DMIN,MA, CAPS, LPC (NPI 1972040210) is an individual pastoral provider in Saint Louis, Missouri and active in the NPI registry since January 2017. She maintains a secondary practice location in Cahokia.

NPPES Registry Identity

NPI1972040210

Entity TypeIndividualFemale

Primary Taxonomy101YP1600X

Provider Legal NameDR. JACQUELINE JUANITA MADISONCredential: DMIN,MA, CAPS, LPC

Location Address5655 KINGSBURY AVE APT 909Saint Louis, MO 63112-1874

Mailing Address5343 Belleville Crossing St # 2079Belleville, IL 62226-3108 · (314) 740-0903 · Fax (314) 448-1481

Phone(314) 740-0903

Sole ProprietorYes

Enumeration DateJanuary 25, 2017

Last NPPES UpdateMay 22, 20234 updates tracked since enumeration

NPPES CertifiedMay 22, 2023

✔ NPI 1972040210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers

Taxonomy Code101YP1600X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178.012744 (IL)

Also ListedHealth and Wellness CoachTaxonomy 171400000X · License 1090

5655 KINGSBURY AVE APT 909, Saint Louis, MO 63112

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Other Names 1

Professional Name (2)Dr. Jacqueline J Madison Rev. Dr.

Secondary Practice Location 1

Location 12 Agnes DrCahokia, IL 62206-2714 · Phone (314) 201-5908

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 Jacqueline Madison's NPI number?

The NPI number for Jacqueline Madison is 1972040210. It was assigned to this individual provider in the NPPES registry on January 25, 2017. The provider is also known as Dr. Jacqueline J Madison Rev. Dr..

Where is Jacqueline Madison located?

Jacqueline Madison practices at 5655 Kingsbury Ave Apt 909, Saint Louis, MO 63112. The listed phone number is (314) 740-0903.

What is Jacqueline Madison'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 Jacqueline Madison was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.