Individual provider Active NPI

Melissa Kaye Earls, LPC

  • Professional Counselor
  • Missouri City, TX
National Provider Identifier
1275628786
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19312 Issued in TX
Practice address
3335 Cartwright Rd Ste 250
Missouri City, TX 77459-2551
Phone
(281) 788-7975
Fax
(281) 407-6217
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 19312 TX Primary

Addresses

Primary practice location

3335 Cartwright Rd Ste 250
Missouri City, TX 77459-2551

Mailing address

PO Box 376
Fresno, TX 77545-0376
Phone (281) 788-7975

Other identifiers 2

IdentifierTypeStateIssuer
7120LCOtherTXBLUE CROS BLUE SHIELD
1705899-02MedicaidTX

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
19312TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Earls, LPC Professional CurrentSince Feb 14, 2021 Accepting new patients

Locations

3335 Cartwright Rd
Ste 250
Missouri City, TX 77459
Phone (281) 788-7975

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1275628786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775450376",
            "telephone_number": "281-788-7975",
            "fax_number": "281-710-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 CARTWRIGHT RD STE 250",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592551",
            "telephone_number": "281-788-7975",
            "fax_number": "281-407-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLS",
        "first_name": "MELISSA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROS BLUE SHIELD",
            "identifier": "7120LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705899-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.