Organization Active NPI

Melinda Motter,LLC

  • Mental Health Counselor
  • Columbia, MO
National Provider Identifier
1295271120
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2010041702 Issued in MO
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

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Melinda Motter, LPCNPI 1558664268
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1558664268MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.