Melanie Maddox, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

116137 Issued in CA

Practice address

3010 Wilshire Blvd # 354
Los Angeles, CA 90010-1103

Phone

(213) 761-4246

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1053981373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S 300 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011217",
            "telephone_number": "801-467-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WILSHIRE BLVD # 354",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101103",
            "telephone_number": "213-761-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 S 300 W",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841011217",
            "country_code": "US",
            "telephone_number": "801-467-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MELANIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "116137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Ann Madden, L.AC.
• Sheaira Madden
• W Michael Madden, DDS
• Leslie Nicole Maddison
• Megan Lee-Ann Maddox, ACSW
• Perry Lewis Maddox Sr., CHW
• Made in la PT
• Made in la PT Inc
• Kyler Madeira
• Barbara Lynn Madej, RPH

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.