Melissa Denise Anderson, RBT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84499 Issued in TX

Practice address

2947 Broadway St Ste 100
Pearland, TX 77581-9500

Phone

(346) 302-8089

NPI assigned

Oct 5, 2018

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 19, 2024 through Jan 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olive and Ash Counseling, PLLC

  • Professional Counselor
  • Friendswood, TX
  • NPI 1205792066
  NPD Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1053886028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 BROADWAY ST STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819500",
            "telephone_number": "346-302-8089",
            "fax_number": "850-607-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 BROADWAY ST STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819500",
            "telephone_number": "346-302-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9466 Navarre Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325662948",
            "country_code": "US",
            "telephone_number": "850-865-5238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Tyrrell Anderson
• Kecia Devires Anderson, PHARM.D.
• Kristen Anderson
• Latonya Nicole Anderson, MA, LPC
• Laura Anderson, M.D.
• Theresa M Anderson
• Dena Yvette Andrade, OD
• Cheona Andreason, LMT, MMT, CFP
• Marilyn Rochelle Andrews, COTA/L
• Suraya Andrews

• Professional Counselor in Pearland, TX
• Providers in Pearland, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.