Active NPI
Melantha Witherspoon, PLPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1184833956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007008766
- Practice address
- 225 Saint Louis Avenue 35005
Saint Louis, MO 63135-0505 - Phone
- (314) 369-7025
- Fax
- (314) 786-5429
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2007008766 | MO | Primary |
| Behavior Analyst | 103K00000X | 2011023304 | MO |
Addresses
Primary practice location
225 Saint Louis Avenue 35005
Saint Louis, MO 63135-0505
Mailing address
P.O. Box 35005
Saint Louis, MO 63135-0505
Phone (314) 369-7025
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007008766 | MO | MD | Professional Counselor |
| 2011023304 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1184833956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 35005",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631350505",
"telephone_number": "314-369-7025",
"fax_number": "314-786-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SAINT LOUIS AVENUE 35005",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631350505",
"telephone_number": "314-369-7025",
"fax_number": "314-786-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "MELANTHA",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007008766",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2011023304",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.