Individual provider Active NPI

Melonie Pinder, LMHC

  • Mental Health Counselor
  • Lakeland, FL
National Provider Identifier
1306377957
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17295 Issued in FL
Practice address
4740 Cleveland Heights Blvd
Suite 1
Lakeland, FL 33813
Phone
(213) 338-3882
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17295 FL Primary

Addresses

Primary practice location

4740 Cleveland Heights Blvd
Suite 1
Lakeland, FL 33813

Mailing address

6039 Cypress Gardens Blvd Ste 211
Winter Haven, FL 33884-4115
Phone (213) 338-3882

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

LicenseStateTypeSpecialty
MH17295FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Pinder Counseling LLC Mental Health Current Accepting new patients

Locations

4740 Cleveland Heights Blvd
Ste 1
Lakeland, FL 33813
Phone (321) 338-3882

6039 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (321) 978-6533

Interoperability endpoints

  • Direct secure messaging: meloniepinder@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1306377957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 CYPRESS GARDENS BLVD STE 211",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844115",
            "telephone_number": "213-338-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 CLEVELAND HEIGHTS BLVD",
            "address_2": "SUITE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "213-338-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINDER",
        "first_name": "MELONIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.