MADELINE MOULTON
NPI 1063173821
Counselor - Mental Health in Austin, TX

NPI Status: Active since January 04, 2022

Contact Information

2499 S CAPITAL OF TEXAS HWY STE B201
AUSTIN, TX
ZIP 78746
Phone: (512) 256-0485

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About MADELINE MOULTON

This page provides the complete NPI Profile along with additional information for Madeline Moulton, a provider established in Austin, Texas with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1063173821 assigned on January 2022. The practitioner's primary taxonomy code is 101YM0800X with license number 5253 (TN). The provider is registered as an individual and her NPI record was last updated May 2025.

NPI
1063173821
Provider Name
MADELINE MOULTON
Other Name
MADELINE RHODEN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2499 S CAPITAL OF TEXAS HWY STE B201 AUSTIN, TX 78746
Location Phone
(512) 256-0485
Mailing Address
2499 S CAPITAL OF TEXAS HWY STE B201 AUSTIN, TX 78746
Mailing Phone
(512) 256-0485
Is Sole Proprietor?
Yes
Enumeration Date
01-04-2022
Last Update Date
05-13-2025
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A mental health counselor like Madeline Moulton provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Madeline Moulton opted out of Medicare effective on 01-30-2024 until 01-30-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
5253
License State
TN

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-30-2024

  • Opt-Out End Date: 01-30-2026

  • Eligible to Order and Refer? No

Reviews for MADELINE MOULTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063173821
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012327684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 7 + 6 + 8 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1063173821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770596520MS. PAMELA HART GATES M.A, LPC, LCDC, ADC
Individual
Counselor (Professional)2499 S CAPITAL OF TEXAS HWY STE B201 BUILDING B STE 201
AUSTIN, TX 78746
(512) 328-2563
1669988051REPAIR THERAPY
Organization
Marriage & Family Therapist2499 S CAPITAL OF TEXAS HWY STE B201
AUSTIN, TX 78746
(512) 430-1822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063173821, enumerated in the NPI registry as an "individual" on January 04, 2022

The provider is located at 2499 S Capital Of Texas Hwy Ste B201 Austin, Tx 78746 and the phone number is (512) 256-0485

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

No, the provider signed an affidavit on January 30, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 30, 2026.

This NPI record was last updated on January 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.