Active NPI
Melissa Madden, LPC
- Mental Health Counselor
- Starkville, MS
National Provider Identifier
1003996695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1191
- Practice address
- 302 N Jackson St
Starkville, MS 39759-2504 - Phone
- (662) 323-9261
- Fax
- (662) 323-9380
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1191 | MS | Primary |
Addresses
Primary practice location
302 N Jackson St
Starkville, MS 39759-2504
Mailing address
507 W Main St
Louisville, MS 39339-2559
Phone (662) 773-9377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1191 | MS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Seven Mental Health Idd Commission | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Community Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, MS
- NPI 1699891358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003996695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 W MAIN ST",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392559",
"telephone_number": "662-773-9377",
"fax_number": "662-773-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N JACKSON ST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592504",
"telephone_number": "662-323-9261",
"fax_number": "662-323-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "MELISSA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "1191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.