Individual provider Active NPI

Melissa Ann Maranda, MA, LMHC

  • Mental Health Counselor
  • Davenport, IA
National Provider Identifier
1083997969
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001448 Issued in IA
Practice address
805 W 35TH St
Ste 100
Davenport, IA 52806-5807
Phone
(563) 468-2296
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001448 IA Primary

Addresses

Primary practice location

805 W 35TH St
Ste 100
Davenport, IA 52806-5807

Mailing address

4034 Eastern Ave
Davenport, IA 52807-1355
Phone (563) 468-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1083997969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071355",
            "telephone_number": "563-468-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W 35TH ST",
            "address_2": "STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065807",
            "telephone_number": "563-468-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANDA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.