Individual provider Active NPI

Melody A Reed, LPC

  • Professional Counselor
  • Gold Beach, OR
National Provider Identifier
1114185857
Registry record updated Apr 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1434 Issued in OR
Practice address
94235 Moore St Ste 121
Gold Beach, OR 97444-9704
Phone
(541) 247-4082
Fax
(541) 247-5058
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1434 OR Primary

Addresses

Primary practice location

94235 Moore St Ste 121
Gold Beach, OR 97444-9704

Mailing address

94235 Moore St Ste 121
Gold Beach, OR 97444-9704
Phone (541) 247-4082

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

LicenseStateTypeSpecialty
C1434ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic Rivers Psychiatric Associates PC Professional Current Accepting new patients
Curry Community Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1114185857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94235 MOORE ST STE 121",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974449704",
            "telephone_number": "541-247-4082",
            "fax_number": "541-247-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94235 MOORE ST STE 121",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974449704",
            "telephone_number": "541-247-4082",
            "fax_number": "541-247-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MELODY",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Beach, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2013; 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.