Melissa R Fred, LMFT
Individual provider Active NPI Marriage & Family Therapist · Bloomfield, NM
NPI 1306306337 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1306306337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- CMF0211601 (NM)
- Practice address
- PO Box 2424
Bloomfield, NM 87413-2424 - Phone
- (505) 215-8939
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
6001 Menaul Blvd NE
Suite 1168
Albuquerque, NM 87110-3379
Phone (415) 360-3348
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in NM, TX, CO, NV, ID, HI, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Arts, Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Marriage & Family Therapist | Current |
Accepting new patients |
| Brightside Health, Inc. | Current |
Accepting new patients | |
| Bend Health Psychiatric Services South Central PA | Past | Accepting new patients | |
| Choices Behavioral Health Services, Inc. | 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
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
200 N Vineyard Blvd
Honolulu, HI 96817
Phone (808) 490-1668
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) 777-3787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CMF0211601 | NM | Yes |
Addresses
Primary practice location
PO Box 2424
Bloomfield, NM 87413-2424
Mailing address
PO Box 2424
Bloomfield, NM 87413-2424
Phone (505) 215-8939
Other providers in Bloomfield, NM
- Amy Elliott
- Mkayla Taylor Ellsworth
- Bernadette Diann Enriquez
- Marina B Ferrari
- Emma Y. Foster
- Jo Beth Fritz
- Michelle Gabaldon
- Aimee M Garrett
- Selece Gathings
- Amber Giles
All providers in Bloomfield, NM · Marriage & Family Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.