Donna L. Meldrum, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011811 Issued in MI

Practice address

117 Cass Ave
Suite 300
Mount Clemens, MI 48043-2252

Phone

(586) 260-7835

Fax

(586) 468-5270

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

Yes

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 MI

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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 Lutheran Church

  • Counselor
  • Mount Clemens, MI
  • NPI 1033568456
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1093060022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CASS AVENUE",
            "address_2": "SUITE 300",
            "city": "MT. CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-260-7835",
            "fax_number": "586-468-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CASS AVE",
            "address_2": "SUITE 300",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432252",
            "telephone_number": "586-260-7835",
            "fax_number": "586-468-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "DONNA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011811",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6401011811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jean Measel, PA-C
• Selma Medic-Cufurovic, LMSW
• Lindsey Kristin Meding
• Pavel Medved, DO
• Craig T Meisner, D.O
• Patricia Ann Meli, BA
• Jeninne Marie Melkonian, NP-C
• Iesha Quinetta Meredith
• Todd Lamont Merriwether Sr.
• Mi Care Pharmacy LLC

• Professional Counselor in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.

Verify at the official NPI Registry.