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Madison Max

Counselor β€’ Chicago, IL

Active NPI 1144988890 Individual Practitioner Female Practitioner
Practice location in NPPES

3808 N Ashland Ave
Chicago, IL 606135382

Call 3122175887 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3808 N Ashland Ave

Chicago, IL 606135382

Telephone 3122175887
Organization at the Same NPPES Address or Phone
Move Therapy And Wellness 1241 Llc Facility NPI 1306394416

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

533 active clinicians are listed under Counselor with a practice address in Chicago, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

1.9% of these 533 clinicians have the CMS telehealth indicator.

3.2% of these 533 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 178016225

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Private Insurance
474726722 (IL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 27, 2024

Recorded as MADISON MAX

βœ…
NPI Profile Active November 30, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 30, 2021

Registered at 3808 N ASHLAND AVE, CHICAGO, IL 606135382 (Tel: 3122175887)

πŸ“
Business Mailing Address (Initial Record) November 30, 2021

Registered at 3808 N ASHLAND AVE, CHICAGO, IL 606135382 (Tel: 3122175887)

πŸ‘€
Provider Name / Credentials (Initial Record) November 30, 2021

Recorded as MASION SUFFREDINI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2021

Counselor (license number reported to NPPES: IL 178016225)

🟒
Initial NPI Registration & Enumeration November 30, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144988890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2021
Last Update: March 27, 2024
Sole Proprietor: No

Mailing Address

3808 N Ashland Ave

Chicago, IL 606135382

Phone: 3122175887

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.