Active NPI
Melinda Motter,LLC
- Mental Health Counselor
- Columbia, MO
National Provider Identifier
1295271120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2010041702
- Legal business name
- MELINDA MOTTER,LLC
- Practice address
- 1310 Old Highway 63 S Ste 1
Columbia, MO 65201-6078 - Phone
- (573) 874-8818
- NPI assigned
- Jan 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Motter, LPC
- Title
- Licensed Professional Counselor
- Phone
- (573) 874-8818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2010041702 | MO | Primary |
Addresses
Primary practice location
1310 Old Highway 63 S Ste 1
Columbia, MO 65201-6078
Mailing address
1310 Old Highway 63 S Ste 1
Columbia, MO 65201-6078
Phone (573) 874-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558664268 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Columbia, MO
- NPI 1558664268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484611200000",
"number": "1295271120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 OLD HIGHWAY 63 S STE 1",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016078",
"telephone_number": "573-874-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 OLD HIGHWAY 63 S STE 1",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016078",
"telephone_number": "573-874-8818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELINDA MOTTER,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A",
"authorized_official_last_name": "MOTTER",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "573-874-8818",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2010041702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558664268",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.