Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Juanita Madison, DMIN, MA, CAPS, LPC

Individual provider Counselor · NPI 1972040210

Dr. Jacqueline Juanita Madison, DMIN, MA, CAPS, LPC is a Counselor in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
Specialties on file
6
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5655 Kingsbury Ave Apt 909
Saint Louis, MO 63112-1874
Phone: (314) 740-0903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Agnes Dr, Cahokia, IL 62206-2714 — (314) 201-5908

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X (IL)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 178.012744 (IL)
Pastoral Counselor Taxonomy 101YP1600X
Health & Wellness Coach Taxonomy 171400000X
Health & Wellness Coach Taxonomy 171400000X · Licence 1090

Record details

NPI number1972040210
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMIN , MA , CAPS , LPC
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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