Shandy Chance Melson, M.S., LCPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CP0214 Issued in NV

Practice address

2780 S Jones Blvd Ste 100a
Las Vegas, NV 89146

Phone

(702) 820-3061

NPI assigned

Jun 25, 2015

Last updated

Jul 7, 2018By the provider in NPPES

Sex

Male

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

Enrolled in NV

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

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.

• Lisa a Durette MD PLLC

  dba Healthy Minds

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1669679205
  Medicare reassignment NPD
• Insight Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1831683028
  NPD Authorized official
• Lisa a Durette MD PLLC

  dba Healthy Minds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1235633421

  Addiction (Substance Use Disorder)

  NPD
• Integrative Health & Healing, Inc

  dba Integrative Pulmonary Associates

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1790975621
  NPD (past)
• Stark Medicine Khurana Jeider PLLC

  dba Nevada Mental Health

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1053880856
  NPD (past)
• True Life Coaching LLC

  dba Aloha Care Therapy

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1548771454
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1083096051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 RAINBOW RIVER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891423639",
            "telephone_number": "702-670-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-820-3061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 S Jones Blvd",
            "address_2": "#220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465642",
            "country_code": "US",
            "telephone_number": "702-968-9372",
            "fax_number": "702-932-3189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELSON",
        "first_name": "SHANDY",
        "middle_name": "CHANCE",
        "name_prefix": "Mr.",
        "credential": "M.S., LCPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00479-LC",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Meloche
• Teresita Lu Melocoton, M.D.
• Stephanie Melrose, PA-C
• Kelley Melson
• Rae Jonette Melson, M.S. ED. S.
• Britney Nicole Melton
• Clarissa Melton
• Deshonna Deshay Melton
• Domekie Irene Melton
• Ferrah Melton

• Professional Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.