Melissa Dawn Henry, LPC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704011144 Issued in VA

Practice address

901 W Church St
Elizabeth City, NC 27909-4629

Phone

(978) 768-8744

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunshine & Glory Counseling PLLC

  • Mental Health Counselor
  • Elizabeth City, NC
  • NPI 1649081878
  NPD Authorized official
• Lighthouse Counseling and Psychotherapy LLC

  dba Lighthouse Counseling

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1750770137
  NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1184219776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W CHURCH ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094629",
            "telephone_number": "757-581-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W CHURCH ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094629",
            "telephone_number": "978-768-8744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Independence Blvd Ste 213",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521150",
            "country_code": "US",
            "telephone_number": "757-376-8167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LPC,  LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704011144",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "20116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Henderson, HIS
• Thomas J Henderson, M.S., CCC-A
• Michelle Henning, DO
• Kristal Jade Henry, DC
• Madahari Tyler Aldhem Henry, MD
• Heritage Care of Elizabeth City, LLC
• Albrecht Mark Heyder, MD
• Chiarina Simeone Heyder, PA-C
• Michael Hibbert
• Bailey Ann Hicks

• Mental Health Counselor in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.