Melinda Willison

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17555 Issued in NC

Practice address

2922 Audrey Dr
Gastonia, NC 28054-7268

Phone

(704) 709-1147

Fax

(980) 495-8940

NPI assigned

Jun 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Upwelling Therapeutic Services PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Weddington, NC
  • NPI 1679341127
  NPD Authorized official
• Rock of Refuge

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1679150015
  NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1215667837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 ROLLING ACRES RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135330",
            "telephone_number": "704-315-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 AUDREY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547268",
            "telephone_number": "704-709-1147",
            "fax_number": "980-495-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISON",
        "first_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allodia Dezeree Williamson
• Christiauna S Williamson Sr.
• Patrice S Williamson, PHARM.D
• Allison Willis, LCMHC
• Anthony K Willis, PSS
• Felicity Willocks, RBT
• Willow Counseling and Wellness PLLC
• Penny Willyoung, RN
• Antigone Wilson, LCASA
• Leigh Hartman Wilson, D.M.D.

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, 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 Jun 15, 2022; 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.