Individual provider Active NPI

Melanie Marie Henson, LPC

  • Professional Counselor
  • Cordele, GA
National Provider Identifier
1295054393
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005363 Issued in GA
Practice address
215 E 13TH Ave
Cordele, GA 31015-4249
Phone
(229) 276-0100
NPI assigned
May 28, 2010
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 LPC005363 GA Primary

Addresses

Primary practice location

215 E 13TH Ave
Cordele, GA 31015-4249

Mailing address

215 E 13TH Ave
Cordele, GA 31015-4249
Phone (229) 276-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231115003578 GA Practitioner - Mental Health Counselor 9830546696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC005363GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Careconnect Health, Inc. CurrentSince Jan 4, 2024 Accepting new patients

Locations (25 of 41)

101 Mayo St
Ste A
Americus, GA 31709
Phone (229) 924-4647

205 Rees St
Americus, GA 31709
Phone (229) 928-4755

206 E Lamar St
Americus, GA 31709
Phone (229) 924-6648

603 E Lamar St
Americus, GA 31709
Phone (229) 928-3444

609 E Lamar St
Americus, GA 31709
Phone (229) 924-8636

618 E Lamar St
Americus, GA 31709
Phone (229) 924-4808

317 E Washington Ave
Ashburn, GA 31714
Phone (229) 567-4414

80 W Main St
Butler, GA 31006
Phone (478) 862-3879

6005 Watson Blvd
Ste 100
Byron, GA 31008
Phone (478) 699-1028

109 S 3rd St
Cochran, GA 31014
Phone (478) 934-4988

1007 E 16th Ave
Ste A
Cordele, GA 31015
Phone (229) 273-1716

110 E 13th Ave
Cordele, GA 31015
Phone (229) 273-0359

215 E 13th Ave
Cordele, GA 31015
Phone (229) 276-0100

412 E 4th Ave
Cordele, GA 31015
Phone (229) 273-1243

711 E 16th Ave
Cordele, GA 31015
Phone (229) 271-9330

712 N 7th St
Cordele, GA 31015
Phone (229) 276-0052

298 US Highway 520
Cusseta, GA 31805
Phone (706) 989-1050

125 McDonald Ave
Cuthbert, GA 39840
Phone (229) 732-3721

771 Roundtree Dr SW
#A
Dawson, GA 39842
Phone (229) 270-1905

817 Griffin Ave
Eastman, GA 31023
Phone (478) 374-1801

41 E Oglethorpe St
Ellaville, GA 31806
Phone (229) 937-2440

130 N Lee St
Forsyth, GA 31029
Phone (478) 974-6080

209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054

23 Old School Rd
Georgetown, GA 39854
Phone (229) 334-9353

1424 N Expressway
Ste 121123
Griffin, GA 30223
Phone (678) 688-2820

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1295054393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 13TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154249",
            "telephone_number": "229-276-0100",
            "fax_number": "229-276-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 13TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154249",
            "telephone_number": "229-276-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.