Active NPI
Melissa Noel Mullineaux, LCPC
- Professional Counselor
- Sykesville, MD
National Provider Identifier
1316360605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5327
- Practice address
- 5420 Klee Mill Rd S Ste 6
Sykesville, MD 21784-9230 - Phone
- (240) 285-4261
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | LC5327 | MD | Primary |
Addresses
Primary practice location
5420 Klee Mill Rd S Ste 6
Sykesville, MD 21784-9230
Mailing address
5420 Klee Mill Rd S Ste 6
Sykesville, MD 21784-9230
Phone (240) 285-4291
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 |
|---|---|---|---|
| LC5327 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1316360605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 KLEE MILL RD S STE 6",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217849230",
"telephone_number": "240-285-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 KLEE MILL RD S STE 6",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217849230",
"telephone_number": "240-285-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINEAUX",
"first_name": "MELISSA",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.