Melody Nicholas, MA, LCMHCA, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5540 Centerview Dr
Ste 204 #586505
Raleigh, NC 27606-8012

Phone

(336) 422-0768

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 Arts

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 and National Provider Directory roles.

• Trinity Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1700892478
  Medicare reassignment NPD
• Trinity Center Inc

  • Counseling Psychologist
  • Winston Salem, NC
  • NPI 1780536383
  NPD (past)

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1083329932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR",
            "address_2": "STE 204 #586505",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068012",
            "telephone_number": "336-422-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR",
            "address_2": "STE 204 #586505",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068012",
            "telephone_number": "336-422-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Holly Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012716",
            "country_code": "US",
            "telephone_number": "336-725-3999",
            "fax_number": "336-725-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MELODY",
        "credential": "MA, LCMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER (NPI)",
            "identifier": "1700892478",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NH Med Services, LLC
• Mike Ni
• Elizabeth Nicholaides, LCSW
• Nicholas E Stratas MD PA
• Maurice Nicholas
• Roslyn Crews Nicholas, P.T.
• Austin Kennedy Nichols, MD
• Brian Nichols, LAT, ATC
• Chyanne Nichols
• Grayson G Nichols, LCSW

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.