Individual provider Active NPI

Melinda Swinney, LPC

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1003983198
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5202 Issued in TN
Practice address
320 N Peters Rd Ste C
Knoxville, TN 37922-7509
Phone
(855) 284-7483
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1511 MS
Mental Health Counselor 101YM0800X MS
Professional Counselor 101YP2500X 5202 TN Primary

Addresses

Primary practice location

320 N Peters Rd Ste C
Knoxville, TN 37922-7509

Mailing address

PO Box 768
1701 White Street
McComb, MS 39648
Phone (601) 249-4217

Other practice location 1

1701 White Street
McComb, MS 39648
Phone (662) 746-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240320001916 TN Practitioner - Mental Health Counselor 3173960614 Reassigns benefits to 1 organization
I20240327000625 MS Practitioner - Mental Health Counselor 3173960614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1511MSMDProfessional Counselor
5202TNMDClinical Social Worker
1436MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince Feb 14, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 14, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Feb 14, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 14, 2024 Accepting new patients

Locations

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1003983198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "address_2": "1701 WHITE STREET",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "39648",
            "telephone_number": "601-249-4217",
            "fax_number": "601-249-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N PETERS RD STE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379227509",
            "telephone_number": "855-284-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 White Street",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "39648",
            "country_code": "US",
            "telephone_number": "662-746-5712",
            "fax_number": "601-638-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINNEY",
        "first_name": "MELINDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1511",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.