Individual provider Active NPI

Melanie Wheel, MS, LSATP

  • Addiction (Substance Use Disorder) Counselor
  • Midlothian, VA
National Provider Identifier
1285970509
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0718000257 Issued in VA
Practice address
4920 Millridge Pkwy E Ste 206
Midlothian, VA 23112-4857
Phone
(804) 464-8875
NPI assigned
Dec 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000257 VA Primary

Addresses

Primary practice location

4920 Millridge Pkwy E Ste 206
Midlothian, VA 23112-4857

Mailing address

4920 Millridge Pkwy E Ste 206
Midlothian, VA 23112-4857
Phone (804) 464-8875

Other identifiers 1

IdentifierTypeStateIssuer
1336293000MedicaidVA

Other names 1

  • Ms. Melanie Brown Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0718000257VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1285970509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 MILLRIDGE PKWY E STE 206",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124857",
            "telephone_number": "804-464-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 MILLRIDGE PKWY E STE 206",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124857",
            "telephone_number": "804-464-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEEL",
        "first_name": "MELANIE",
        "credential": "MS, LSATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336293000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "BROWN",
            "prefix": "MS.",
            "credential": "MS, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.