Active NPI
Meleah Beth Lister Smith, LMHC
- Mental Health Counselor
- Panama City, FL
National Provider Identifier
1225596786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16400
- Practice address
- 625 Jenks Ave
Panama City, FL 32401-2629 - Phone
- (850) 215-5657
- NPI assigned
- Mar 4, 2019
- Last updated
- Mar 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16400 | FL | Primary |
Addresses
Primary practice location
625 Jenks Ave
Panama City, FL 32401-2629
Mailing address
233 Lucy Dr
Wewahitchka, FL 32465-4629
Phone (850) 628-6027
Other names 1
- Meleah Beth Lister
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 |
|---|---|---|---|
| MH16400 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Wave Family Wellness Center | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1225596786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 LUCY DR",
"city": "WEWAHITCHKA",
"state": "FL",
"postal_code": "324654629",
"telephone_number": "850-628-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324012629",
"telephone_number": "850-215-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELEAH",
"middle_name": "BETH LISTER",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELEAH",
"last_name": "LISTER",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.