Melanie Page Patterson, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4164 Issued in TN

Practice address

575 S Royal St Ste 38
Jackson, TN 38301-7307

Phone

(731) 410-7391

NPI assigned

Apr 15, 2015

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1235525353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 STATE ROUTE 197",
            "city": "BEECH BLUFF",
            "state": "TN",
            "postal_code": "383131739",
            "telephone_number": "731-267-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST STE 38",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "731-410-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MELANIE",
        "middle_name": "PAGE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1710361",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Centered Physician'S Care, P.C.
• Kimba Patrick
• Patterson Physical Therapy LLC
• Alice Patterson, O.T.
• Laura Elizabeth Patterson, P.T.
• Ralph E Patterson, DO
• Darlene McDonald Patton, D.PH.
• Payne Chiropractic PLLC
• Franklin Vaughn Payne, D.C.
• James A Payne, MD

• Mental Health Counselor in Jackson, TN
• Providers in Jackson, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.