Healthcare Provider Details

I. General information

NPI: 1326442104
Provider Name (Legal Business Name): MADELEINE CUSHMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADELEINE CHAPMAN

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 B ST NE
AUBURN WA
98002-4005
US

IV. Provider business mailing address

100 N HOWARD ST # 4353
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 206-207-5395
  • Fax:
Mailing address:
  • Phone: 253-204-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60829118
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60681979
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: