Active NPI
Melissa Ann Goyen, LQMHP, LCAS, CSI, SA
- Addiction (Substance Use Disorder) Counselor
- Seven Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4734 Liddell Shortcut Rd
Seven Springs, NC 28578-9469 - Phone
- (336) 402-1527
- NPI assigned
- May 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-28487 | NC |
Addresses
Primary practice location
4734 Liddell Shortcut Rd
Seven Springs, NC 28578-9469
Mailing address
1203 Berkley Hall Manor LN Apt 1G
Greensboro, NC 27409-9816
Phone (336) 402-1527
Other practice location 1
215A Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 378-4870
Other practice location 2
1700 E Ash St Ste 200
Goldsboro, NC 27530-4097
Phone (919) 241-7153
Other practice location 3
919 Phillips Ave Ste 107
High Point, NC 27262-7076
Phone (336) 899-8889 ext. 103
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 |
|---|---|---|---|
| LCAS-28487 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Haven Recovery | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Seven Springs, NC
- NPI 1902663172
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1124474291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 BERKLEY HALL MANOR LN APT 1G",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274099816",
"telephone_number": "336-402-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4734 LIDDELL SHORTCUT RD",
"city": "SEVEN SPRINGS",
"state": "NC",
"postal_code": "285789469",
"telephone_number": "336-402-1527"
}
],
"practiceLocations": [
{
"address_1": "215A Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466333",
"country_code": "US",
"telephone_number": "910-378-4870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 E Ash St Ste 200",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275304097",
"country_code": "US",
"telephone_number": "919-241-7153",
"fax_number": "919-583-9358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "919 Phillips Ave Ste 107",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272627076",
"country_code": "US",
"telephone_number": "336-899-8889 x103",
"fax_number": "336-790-3999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOYEN",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LQMHP, LCAS, CSI, SA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-28487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seven Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.