Active NPI
Melody Magnus, LPC
- Professional Counselor
- Stephenville, TX
National Provider Identifier
1104586643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80719
- Practice address
- 178 W Long St
Stephenville, TX 76401-4232 - Phone
- (517) 215-1166
- NPI assigned
- Dec 25, 2021
- Last updated
- Dec 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 80719 | TX | Primary |
Addresses
Primary practice location
178 W Long St
Stephenville, TX 76401-4232
Mailing address
1111 Greens Creek Cir
Stephenville, TX 76401-5176
Phone (517) 215-1166
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80719 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640390400000",
"number": "1104586643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 GREENS CREEK CIR",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764015176",
"telephone_number": "517-215-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 W LONG ST",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764014232",
"telephone_number": "517-215-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUS",
"first_name": "MELODY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-25",
"last_updated": "2021-12-25",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.