DR. JACQUELINE JUANITA MADISON DMINMA CAPS LPC NPI 1972040210

NPI Information

NPI: 1972040210
Provider Name: DR. JACQUELINE JUANITA MADISON, DMIN,MA, CAPS, LPC
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
5655 KINGSBURY AVE APT 909
SAINT LOUIS, MO
ZIP 63112
Phone: (314) 740-0903
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DR. Jacqueline Juanita Madison, DMIN,MA, CAPS, LPC is a pastoral counselor in Saint Louis, MO. DR. Jacqueline Juanita Madison, DMIN,MA, CAPS, LPC NPI is 1972040210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5655 KINGSBURY AVE APT 909
SAINT LOUIS, MO
ZIP 63112-874
Phone: (314) 740-0903

The enumeration date for this NPI number is 1/25/2017 and was last updated on 5/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health	178.012744	ILLINOIS	No
3	101YP1600X	Counselor	Pastoral			No
4	171400000X	Health and Wellness Coach				No
5	171400000X	Health and Wellness Coach		1090		No
6	101YP1600X	Counselor	Pastoral		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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