Active NPI
Melanie D Little, LMSW, LCDC
- Social Worker
- Canyon Lake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 66579
- Practice address
- 26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957 - Phone
- (830) 214-1825
- NPI assigned
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 66579 | TX | Primary |
Addresses
Primary practice location
26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957
Mailing address
26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957
Phone (210) 833-3804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17206 Blanco Rd
BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66579 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie a Richards LPC, PLLC | Current | Accepting new patients | |
| Counseling4Life, LLC | Current | Accepting new patients | |
| Goodmindrx | Past | Accepting new patients |
Locations
17206 Blanco Rd
Bldg 2
San Antonio, TX 78232
Phone (210) 209-0642
16607 Blanco Rd
Ste 1404
San Antonio, TX 78232
Phone (210) 209-0642
17206 Blanco Rd
Ste 2101
San Antonio, TX 78232
Phone (210) 209-0642
172 Creekside Park Rd
Ste 117
Spring Branch, TX 78070
Phone (210) 209-0642
Organizations & group practices 3
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.
-
- Professional Counselor
- San Antonio, TX
- NPI 1932519063
-
- Professional Counselor
- San Antonio, TX
- NPI 1609634328
-
- Developmental - Behavioral Pediatrics Physician
- San Antonio, TX
- NPI 1922837491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1083188338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26229 N CRANES MILL RD",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781331957",
"telephone_number": "210-833-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26229 N CRANES MILL RD",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781331957",
"telephone_number": "830-214-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "MELANIE",
"middle_name": "D",
"credential": "LMSW, LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "66579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canyon Lake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.