Individual provider

MADISON BESSELIEVRE, LCSW

CMS NPPES lists MADISON BESSELIEVRE as an individual provider record with NPI 1225687510. The current record reports a primary practice location in ALPINE, UT and primary taxonomy code 1041C0700X.

NPI 1225687510Record type Type 1Primary taxonomy 1041C0700X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    256 N. MAIN ST.SUITE CALPINE, UT 84004

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 1041C0700XPrimary reported taxonomy
  • 101Y00000XAdditional reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Reactivated in NPPES
Enumeration date
September 9, 2019
Reactivation date
May 22, 2026

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.