Individual provider Active NPI

Melody Ann Didisse, M.A., LMFT

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1245556802
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CO.0001435 Issued in CO
Practice address
8199 E 1St Ave
Denver, CO 80230-7163
Phone
(303) 731-8977
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 58406 CA
Mental Health Counselor 101YM0800X CO.0001435 CO Primary

Addresses

Primary practice location

8199 E 1St Ave
Denver, CO 80230-7163

Mailing address

2128 Summerfield Dr
Castle Rock, CO 80104-2338
Phone (714) 824-7969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325003986 CO Practitioner - Marriage and Family Therapist 2163907379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 White Pine Way
Phenix City, AL 36869-7983

8481 E 33Rd Ave
Denver, CO 80238-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CO.0001435COMDMental Health Counselor
IMF 58406CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Therapy LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1245556802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 SUMMERFIELD DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042338",
            "telephone_number": "714-824-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 E 1ST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307163",
            "telephone_number": "303-731-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDISSE",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 58406",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CO.0001435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.