Active NPI
Melissa Monique Lawrence, LPC, LMHC
- Mental Health Counselor
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19207 | FL | MD | Mental Health Counselor |
| 10142 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emery Milne Psychological Group, LLC | Current | Accepting new patients | |
| Ocean Sands Counseling PLLC | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Truecandor Behavioral Health, LLC | Mental Health | Past | 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.
-
- Clinical Psychologist
- Orange Park, FL
- NPI 1548741705
-
- Mental Health Counselor
- Dallas, GA
- NPI 1952099046
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.