Individual provider Active NPI

Melonie Grantham, LPC, MA

  • Counselor
  • Rock Hill, SC
National Provider Identifier
1184793549
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4719 Issued in SC
Practice address
448 Lakeshore Pkwy Ste 205
Rock Hill, SC 29730-4264
Phone
(803) 328-9600
NPI assigned
Nov 7, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4719 SC Primary

Addresses

Primary practice location

448 Lakeshore Pkwy Ste 205
Rock Hill, SC 29730-4264

Mailing address

2241 Ebenezer Rd
Rock Hill, SC 29732-9288
Phone (803) 817-7837

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melonie.grantham@scdmh.org South Carolina Dept of Mental Health Accounting Office

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4719SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Counesling Services,LLC Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Aug 6, 2023 Accepting new patients
Premier Chiropractic, LLC PastSince Apr 12, 2010 Accepting new patients

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1184793549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329288",
            "telephone_number": "803-817-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 LAKESHORE PKWY STE 205",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304264",
            "telephone_number": "803-328-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "MELONIE",
        "name_prefix": "Mrs.",
        "credential": "LPC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "4719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melonie.grantham@scdmh.org",
            "affiliation": "Y",
            "affiliationName": "South Carolina Dept of Mental Health Accounting Office",
            "address_1": "448 Lakeshore Pkwy Ste 205",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297304264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.