Individual provider Active NPI

Melissa R Fred, LMFT

  • Marriage & Family Therapist
  • Bloomfield, NM
National Provider Identifier
1306306337
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF0211601 Issued in NM
Practice address
PO Box 2424
Bloomfield, NM 87413-2424
Phone
(505) 215-8939
NPI assigned
Mar 25, 2019
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CMF0211601 NM Primary

Addresses

Primary practice location

PO Box 2424
Bloomfield, NM 87413-2424

Mailing address

PO Box 2424
Bloomfield, NM 87413-2424
Phone (505) 215-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, CO, NV, ID, HI, VA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20240215002084 NM Practitioner - Marriage and Family Therapist 7911341110 Reassigns benefits to 2 organizations
I20251204000950 TX Practitioner - Marriage and Family Therapist 7911341110 Reassigns benefits to 1 organization
I20251204001213 CO Practitioner - Marriage and Family Therapist 7911341110 Reassigns benefits to 1 organization
I20251205001603 NV Practitioner - Marriage and Family Therapist 7911341110 Reassigns benefits to 1 organization
I20251205001737 ID Practitioner - Marriage and Family Therapist 7911341110 Reassigns benefits to 1 organization
I20251205004180 HI Practitioner - Marriage and Family Therapist 7911341110 Reassigns benefits to 1 organization
I20251210000266 VA Practitioner - Marriage and Family Therapist 7911341110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

6001 Menaul Blvd NE
Suite 1168
Albuquerque, NM 87110-3379
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Feb 2, 2024 Accepting new patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Oct 21, 2025 Accepting new patients
Choices Behavioral Health Services, Inc. Past Accepting new patients
Bend Health Psychiatric Services South Central PA Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

200 N Vineyard Blvd
Honolulu, HI 96817
Phone (808) 523-8188

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

6001 Menaul Blvd NE
#1168
Albuquerque, NM 87110

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3710

Organizations & group practices 4

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1306306337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2424",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874132424",
            "telephone_number": "505-215-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2424",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874132424",
            "telephone_number": "505-215-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRED",
        "first_name": "MELISSA",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0211601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NM

Sources for this page

Verify at the official NPI Registry.