IndividualActive
Madilyn Myers, LPCC, LADC
NPI 1285366757 · Addiction (Substance Use Disorder) Counselor · Otsego, MN
Provider details
- NPI number
- 1285366757
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC, LADC
- Sex
- Female
- Sole proprietor
- No
- License
- 3262 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
10990 95th St Ne
Otsego, MN 55362-8149
Phone: (763) 329-7195
Fax: (952) 448-6047
Street-level locationGet directions
Mailing address
500 Marschall Rd Ste 300
Shakopee, MN 55379-2690
Registry dates
- Enumerated
- 2022-06-24
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.