Individual provider Active NPI

Melinda Philen King, M.ED.

  • Professional Counselor
  • Port Arthur, TX
National Provider Identifier
1306036637
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20253 Issued in TX
Practice address
7980 Anchor Dr BLDG 500
Port Arthur, TX 77642-8285
Phone
(409) 727-6400
Fax
(409) 727-6403
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 20253 TX
Mental Health Counselor 101YM0800X 20253 TX
Professional Counselor 101YP2500X 20253 TX Primary

Addresses

Primary practice location

7980 Anchor Dr BLDG 500
Port Arthur, TX 77642-8285

Mailing address

7980 Anchor Dr BLDG 500
Port Arthur, TX 77642-8285
Phone (409) 727-6400

Other identifiers 1

IdentifierTypeStateIssuer
186394601MedicaidTX

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 Education

State licenses

LicenseStateTypeSpecialty
20253TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of Southeast Texas Counselor PastSince Oct 31, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1306036637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR BLDG 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR BLDG 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MELINDA",
        "middle_name": "PHILEN",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "20253",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20253",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186394601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.