Melanie Kaye Davis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003790 Issued in VA

Practice address

14014 Sullyfield Cir
Suites a and B
Chantilly, VA 20151-1689

Phone

(703) 817-9890

Fax

(703) 817-9860

NPI assigned

Jul 24, 2006

Last updated

Aug 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Wellness Connection

  • Mental Health Counselor
  • Stone Ridge, VA
  • NPI 1487906467
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1174545578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 SULLYFIELD CIR",
            "address_2": "SUITES A AND B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511689",
            "telephone_number": "703-817-9890",
            "fax_number": "703-817-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 SULLYFIELD CIR",
            "address_2": "SUITES A AND B",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511689",
            "telephone_number": "703-817-9890",
            "fax_number": "703-817-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELANIE",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM #/CHANTILLY OFFICE",
            "identifier": "239528",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM #/WOODBRIDGE OFFIC",
            "identifier": "239532",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "7384803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narayel Daniels
• Donna Darling
• David C Heebner, LLC
• Izabella Elizabeth Davidson
• Amanda Leigh Davis-Scott, MS, LPC
• Parker Rose Tapley Davis, M.S.
• Savana Davis
• Anne De Geus, M.D.
• Carissa Dear, NP
• Gabriella Degucz

• Professional Counselor in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.