Melody Carr, MED, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A12960 Issued in NC

Practice address

105 Waxhaw Professional Park Dr Ste H
Waxhaw, NC 28173-5018

Phone

(704) 256-0305

Fax

(704) 256-9968

NPI assigned

May 19, 2017

Last updated

May 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 27, 2024 through May 27, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Southeast Child & Family Guidance, PLLC

  • Mental Health Counselor
  • Waxhaw, NC
  • NPI 1356629273
  NPD (past)

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1316474430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 FERNRIDGE LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055881",
            "telephone_number": "706-399-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR STE H",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735018",
            "telephone_number": "704-256-0305",
            "fax_number": "704-256-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MELODY",
        "credential": "MED, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Physicians Network Inc (Atrium Health Women's Care Union OB/GYN)
• Carolinas Physicians Network Inc (Carolinas HealthCare System Orthopaedic Surgery)
• Carolinas Physicians Network Inc. (Atrium Health Musculoskeletal Institute Orthopedics & Sports Medicine)
• Carolinas Physicians Network, Inc. (Union Endocrinology Associates)
• Christa Carr
• Stacy Ann Carr
• Michael Edward Cauthen, R. PH.
• Raymond Chao, ND, DC, LAC
• Charlotte Medical Clinic Inc
• Charlotte-Mecklenburg Hospital Authority (CMC Orthopaedic Surgery-Union)

• Professional Counselor in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.