Hi, my name is Madison Howard, and I’m the Billing Coordinator here at Enso Mental Health. I’m currently a pre-law student at Black Hills State University, majoring in psychology with a minor in business communications. I grew up in the Black Hills and have a deep appreciation for this remarkable place we call home. After high school, I completed my first year of college at Colorado State University, but soon realized how much I missed the strong sense of community our area offers and decided to transfer back home. Outside of my education, I enjoy cooking, practicing yoga, thrifting, going to the lake, and spending time with my loved ones. I also participate in academic debate, which has strengthened my critical thinking, communication, and advocacy skills.

As your Billing Coordinator, I have a passion for helping individuals navigate unfamiliar circumstances and strive to be a supportive advocate throughout your mental health journey. I understand that billing and insurance can feel overwhelming, especially during times of personal stress, and I am committed to making the process as clear, transparent, and stress-free as possible. My goal is to ensure you feel informed, supported, and confident, so you can focus on what truly matters—your care and well-being.