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

Individual provider Mental Health Counselor · NPI 1710619242

Madison Reese, LCMHCA is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074
Phone: (919) 617-9656
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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 A17725 (NC)

Record details

NPI number1710619242
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorYes
NPI enumeratedJune 24, 2022
Last updated in NPPESJune 24, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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