Active NPI
Jacey Melder, LPC
- Professional Counselor
- Southaven, MS
National Provider Identifier
1295514545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3385
- Practice address
- 232 Goodman Rd W
Southaven, MS 38671-8004 - Phone
- (662) 856-9563
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3385 | MS | Primary |
Addresses
Primary practice location
232 Goodman Rd W
Southaven, MS 38671-8004
Mailing address
111 Ridge Rd
Sarah, MS 38665-3417
Phone (601) 543-9702
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3385 | MS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1295514545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 RIDGE RD",
"city": "SARAH",
"state": "MS",
"postal_code": "386653417",
"telephone_number": "601-543-9702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 GOODMAN RD W",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386718004",
"telephone_number": "662-856-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELDER",
"first_name": "JACEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.