Individual provider Active NPI

Melissa Ann Davenport-Laplante, MA, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1184068868
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2704 Issued in MN
Practice address
762 Transfer Rd
Saint Paul, MN 55114
Phone
(612) 242-6956
Fax
(612) 234-4604
NPI assigned
Apr 24, 2013
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2704 MN Primary

Addresses

Primary practice location

762 Transfer Rd
Saint Paul, MN 55114

Mailing address

762 Transfer Rd
St.Paul, MN 55114
Phone (651) 659-2900

Other names 1

  • Melissa Ann McCormick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002208 MN Practitioner - Marriage and Family Therapist 5193968998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Resources, IncGroup PAC ID 0446144992, 7 clinicians

Practice addresses (Care Compare)

2577 Territorial Rd
Suite 2577
Saint Paul, MN 55114-1500
Phone (651) 659-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Resources, Inc. CurrentSince Mar 19, 2024 Accepting new patients
Mental Health Resources, Inc. CurrentSince Mar 19, 2024 Accepting new patients
Mental Health Resources, Inc. Current Accepting new patients

Locations

2577 Territorial Rd
Ste 2577
Saint Paul, MN 55114
Phone (651) 659-2900

762 Transfer Rd
Ste 21
Saint Paul, MN 55114
Phone (651) 659-2900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1184068868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 TRANSFER RD",
            "city": "ST.PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-659-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 TRANSFER RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "612-242-6956",
            "fax_number": "612-234-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT-LAPLANTE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MCCORMICK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.