IndividualActive
Madison Medlock
NPI 1053976928 · Counselor · Wagoner, OK
Madison Medlock is a Counselor provider in Wagoner, OK (NPI 1053976928).
Provider details
- NPI number
- 1053976928
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 S Harrill Ave
Wagoner, OK 74467-5317
Phone: (918) 485-0242
Fax: (918) 485-0242
Street-level locationGet directions
Mailing address
109 S Harrill Ave
Wagoner, OK 74467-5317
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2019-05-07
Frequently asked questions
- What is Madison Medlock's NPI number?
- Madison Medlock's National Provider Identifier (NPI) is 1053976928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Medlock's specialty?
- Madison Medlock is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Madison Medlock located?
- Madison Medlock's practice location on file with NPPES is 109 S Harrill Ave, Wagoner, OK 74467-5317.
- What is Madison Medlock's phone number?
- The practice phone number listed in the NPPES registry for Madison Medlock is (918) 485-0242.
- Is Madison Medlock's NPI active?
- Yes — Madison Medlock's NPI (1053976928) is active in the NPPES registry as of the last update on 2019-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.