Active NPI
Melissa Lynn McDavid I
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1053769745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18192
- Practice address
- 900 Lovett Blvd
Houston, TX 77006-3908 - Phone
- (713) 470-9878
- NPI assigned
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18192 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 5127 | TX |
Addresses
Primary practice location
900 Lovett Blvd
Houston, TX 77006-3908
Mailing address
900 Lovett Blvd
Houston, TX 77006-3908
Phone (713) 470-9878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323 | Other | TX | SCHOOL BASED MEDICAID (SHARS) |
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 |
|---|---|---|---|
| 18192 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1053769745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 LOVETT BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770063908",
"telephone_number": "713-470-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 LOVETT BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770063908",
"telephone_number": "713-470-9878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDAVID",
"first_name": "MELISSA",
"middle_name": "LYNN",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18192",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "5127",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL BASED MEDICAID (SHARS)",
"identifier": "323",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.