Individual provider Active NPI

Melanie Christine Maine, LPC-S

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1245998699
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61924 Issued in TX
Practice address
9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532
Phone
(817) 291-2172
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61924 TX Primary

Addresses

Primary practice location

9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532

Mailing address

9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532
Phone (817) 291-2172

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL comfortablecounseling@yahoo.com Direct

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

LicenseStateTypeSpecialty
61924TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Counseling, PLLC Current Accepting new patients

Locations

9800 Hillwood Pkwy
Ste 140
Ft Worth, TX 76177
Phone (682) 478-4130

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1245998699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 HILLWOOD PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771532",
            "telephone_number": "817-291-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 HILLWOOD PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771532",
            "telephone_number": "817-291-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINE",
        "first_name": "MELANIE",
        "middle_name": "CHRISTINE",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "comfortablecounseling@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "8718 Night Wind Ln",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762444991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.