Jacqueline Mellinger, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3624 Vandeventer Ave
Knoxville, TN 37919-4578

Phone

(865) 226-9037

NPI assigned

Oct 9, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Homer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1013882810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 VANDEVENTER AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194578",
            "telephone_number": "865-226-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 VANDEVENTER AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194578",
            "telephone_number": "865-226-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "JACQUELINE",
        "credential": "MA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "HOMER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kent Melbourne, D.D.S
• Diamond Rose Melendez
• Taylor Makenzie Melgaard, RBT
• Kimberly Melgarejo, RBT
• Hannah Melhorn
• Cleo Mellish
• Rebecca Jones Melloan, APRN
• Hilary Mellon
• Katie Marie Mellon
• Leonid Melnikov

• Mental Health Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.