Individual provider Active NPI

Melodie Janelle Butze, LPC

  • Professional Counselor
  • Gainesville, GA
National Provider Identifier
1164902102
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010310 Issued in GA
Practice address
1745 Thompson Bridge Rd
Gainesville, GA 30501-1717
Phone
(770) 536-9903
Fax
(770) 536-9904
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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 LPC010310 GA Primary

Addresses

Primary practice location

1745 Thompson Bridge Rd
Gainesville, GA 30501-1717

Mailing address

PO Box 6555
Gainesville, GA 30504-1083
Phone (770) 536-9903

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
LPC010310GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Therapy Center LLC Professional Past Accepting new patients
Wellspring Life Solutions, Inc. Professional 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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1164902102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6555",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305041083",
            "telephone_number": "770-536-9903",
            "fax_number": "770-536-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 THOMPSON BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011717",
            "telephone_number": "770-536-9903",
            "fax_number": "770-536-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZE",
        "first_name": "MELODIE",
        "middle_name": "JANELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.