Active NPI
Melanie Christine Bingham, LMHC
- Mental Health Counselor
- Deland, FL
National Provider Identifier
1013160746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH24500
- Practice address
- 1103 Evergreen PL
Deland, FL 32720-6593 - Phone
- (407) 284-9383
- NPI assigned
- Oct 26, 2008
- Reactivated
- Oct 26, 2021
- 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 | MH24500 | FL | Primary |
Addresses
Primary practice location
1103 Evergreen PL
Deland, FL 32720-6593
Mailing address
126 Vista Verdi Cir Unit 308
Lake Mary, FL 32746-1676
Phone (407) 284-9383
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 |
|---|---|---|---|
| MH24500 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735344000000",
"number": "1013160746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 VISTA VERDI CIR UNIT 308",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461676",
"telephone_number": "407-284-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 EVERGREEN PL",
"city": "DELAND",
"state": "FL",
"postal_code": "327206593",
"telephone_number": "407-284-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "MELANIE",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-26",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"deactivation_date": "2012-03-19",
"reactivation_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH24500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.