Individual provider Active NPI

Melissa Monique Lawrence, LPC, LMHC

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1265849913
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19207 Issued in FL
Practice address
165 Wells Rd Ste 304
Orange Park, FL 32073-3037
Phone
(904) 720-4040
Fax
(904) 720-4596
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10142 GA
Mental Health Counselor 101YM0800X 19207 FL Primary

Addresses

Primary practice location

165 Wells Rd Ste 304
Orange Park, FL 32073-3037

Mailing address

10800 Brighton Bay Blvd NE Apt 6304
Saint Petersburg, FL 33716-3494
Phone (718) 974-9341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231204001307 FL Practitioner - Mental Health Counselor 1759739642 Reassigns benefits to 2 organizations
I20250311000070 GA Practitioner - Mental Health Counselor 1759739642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emery Milne Psychological Group, LLCGroup PAC ID 1355695669, 10 clinicians

Practice addresses (Care Compare)

165 Wells Rd
Suite 304
Orange Park, FL 32073-3037
Phone (904) 720-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19207FLMDMental Health Counselor
10142GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emery Milne Psychological Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
Ocean Sands Counseling PLLC Mental Health CurrentSince Apr 30, 2023 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 7, 2025 Accepting new patients
Truecandor Behavioral Health, LLC Mental Health PastSince Oct 1, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Wells Rd
Ste 304
Orange Park, FL 32073
Phone (904) 720-4040

1734 Kingsley Ave
Ste 2
Orange Park, FL 32073
Phone (904) 720-4040

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

Organizations & group practices 4

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1265849913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 BRIGHTON BAY BLVD NE APT 6304",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163494",
            "telephone_number": "718-974-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 304",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733037",
            "telephone_number": "904-720-4040",
            "fax_number": "904-720-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MELISSA",
        "middle_name": "MONIQUE",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "10142",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.