Madison R Dave, BS/QMHS is a
Counselor - Mental Health based in Burbank, Ohio. Madison R Dave is licensed to practice in Ohio (license number APP-001027850) and her current practice location is
24 North Front Street, Burbank, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 887-2231.
NPI number for Madison R Dave is 1205501707 and her current mailing address is 3095 Kettering Blvd, Moraine, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205501707.
Healthcare Provider's Profile
| Full Name | Madison R Dave |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 24 North Front Street, Burbank, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205501707
- Provider Enumeration Date: 08/16/2021
- Last Update Date: 08/18/2026
Medical Identifiers
Medical identifiers for Madison R Dave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205501707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | APP-001027850 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madison R Dave is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Madison R Dave, BS/QMHS 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 | Madison R Dave, BS/QMHS 24 North Front Street, Burbank, OH 44214 Ph: (330) 887-2231 |
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