Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelli Ann Madden

Individual provider Mental Health Counselor · NPI 1891656237

Kelli Ann Madden is a Mental Health Counselor in Wyandanch, New York. Qualified in 2018, 8 years ago. Practices with Federation of Organizations for the Ny State Mentally Disabled, Inc, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

240 Long Island Ave
Wyandanch, NY 11798-3123
Phone: (631) 782-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 016965 (NY)

Record details

NPI number1891656237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address1 Route 109, West Babylon, NY 11704-6207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Federation Of Organizations For The Ny State Mentally Disabled, Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wyandanch