Individual provider Active NPI

Melody Meeks Flannery, MS, LCMHCA, LCAS, CR

  • Mental Health Counselor
  • Stantonsburg, NC
National Provider Identifier
1033738869
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14291 Issued in NC
Practice address
6226 Holdens Cross Rd
Stantonsburg, NC 27883-9317
Phone
(252) 230-2991
Fax
(252) 237-3098
NPI assigned
Apr 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14291 NC Primary

Addresses

Primary practice location

6226 Holdens Cross Rd
Stantonsburg, NC 27883-9317

Mailing address

6226 Holdens Cross Rd
Stantonsburg, NC 27883-9317
Phone (252) 230-2991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260622000067 NC Practitioner - Mental Health Counselor 8426521550 Practice locations: Stantonsburg, NC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Stantonsburg, NC 27883
Phone (252) 230-2991

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A14291NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1033738869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 HOLDENS CROSS RD",
            "city": "STANTONSBURG",
            "state": "NC",
            "postal_code": "278839317",
            "telephone_number": "252-230-2991",
            "fax_number": "252-237-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 HOLDENS CROSS RD",
            "city": "STANTONSBURG",
            "state": "NC",
            "postal_code": "278839317",
            "telephone_number": "252-230-2991",
            "fax_number": "252-237-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "MELODY",
        "middle_name": "MEEKS",
        "credential": "MS, LCMHCA, LCAS, CR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stantonsburg, NC

Sources for this page

Verify at the official NPI Registry.