Healthcare Provider Details

I. General information

NPI: 1598442865
Provider Name (Legal Business Name): ANDREA MADSEN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S PERRY ST
CASTLE ROCK CO
80104-1924
US

IV. Provider business mailing address

801 S PERRY ST
CASTLE ROCK CO
80104-1924
US

V. Phone/Fax

Practice location:
  • Phone: 801-588-3815
  • Fax:
Mailing address:
  • Phone: 720-588-3815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0024009
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: