Melissa H Casstevens, MS, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A14367 Issued in NC

Practice address

6255 Towncenter Dr Unit 1698
Clemmons, NC 27012-9376

Phone

(336) 569-4340

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

Yes

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.

• Mountain Ridge Counseling PLLC

  • Mental Health Counselor
  • Clemmons, NC
  • NPI 1073487708

  Mental Health, NC

  Medicare reassignment NPD Authorized official
• Jodi Province Counseling Services PLLC

  • Mental Health Counselor
  • Wilkesboro, NC
  • NPI 1194050435

  Mental Health, NC

  Medicare reassignment NPD
• Jodi Province Counseling Services PLLC

  • Professional Counselor
  • Statesville, NC
  • NPI 1427437391

  Professional

  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.casstevens@direct.jpcs.nchie.net

• Melissa Hanks Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2025.

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1043787690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "STATE ROAD",
            "state": "NC",
            "postal_code": "286760114",
            "telephone_number": "336-569-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 TOWNCENTER DR UNIT 1698",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129376",
            "telephone_number": "336-569-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Winston Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesville",
            "state": "NC",
            "postal_code": "286422214",
            "country_code": "US",
            "telephone_number": "336-818-0733 x203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 College Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilkesboro",
            "state": "NC",
            "postal_code": "286972700",
            "country_code": "US",
            "telephone_number": "336-818-0733 x101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSTEVENS",
        "first_name": "MELISSA",
        "middle_name": "H",
        "credential": "MS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14367",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HANKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Clemmons, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.