Melvin Thomas Norman Jr., BA/LADAC2/QCS/NCAC1/

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LDC0000000722 Issued in TN

Practice address

119 Racine St Ste 105
Memphis, TN 38111-2729

Phone

(901) 230-4047

Fax

(901) 443-5089

NPI assigned

Nov 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• For the People by the People

  • Addiction (Substance Use Disorder) Counselor
  • Memphis, TN
  • NPI 1912482043

  Addiction (Substance Use Disorder)

  NPD (past)
• For the People Counseling Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Memphis, TN
  • NPI 1720552235

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1013421130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 RACINE ST STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112729",
            "telephone_number": "901-230-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 RACINE ST STE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112729",
            "telephone_number": "901-230-4047",
            "fax_number": "901-443-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "MELVIN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BA/LADAC2/QCS/NCAC1/",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC0000000722",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054462778",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elana Norman, MSN, APRN, PMHNP-BC
• Gina Marie Norman
• Johnita Kennedy-Keyes Norman, M.D.
• Kiara Norman, CNM
• Lamonica Antoinette Norman, BA
• Diane Norrby, P.A.
• Sarah Norrid, PHARM.D.
• Donna Renai Norris, APRN, BC
• Gillian Norris
• Mary Katherine Norris, PA

• All providers in Memphis, TN
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.