Melissa Madeson, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78183 Issued in TX

Practice address

5189 Texas Ave
Abilene, TX 79605-4529

Phone

(325) 232-7530

NPI assigned

Oct 21, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Headlight Health Medical Group PLLC

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1649064486
  NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1316580590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5189 TEXAS AVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054529",
            "telephone_number": "325-327-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 TEXAS AVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054529",
            "telephone_number": "325-232-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADESON",
        "first_name": "MELISSA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Abilene",
            "affiliation": "N",
            "endpointDescription": "Electronic storage, Therapy Appointment",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Abilene",
            "address_1": "5189 Texas Ave",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796054529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristopher Allen Lyon, MD
• Angela Michelle Maberry, MPT
• Sarah Ann Maberry, OTR
• Mac-Bar Anesthesia PLLC
• Christian M Macintyre, PT
• Bhaskara Reddy Madhira, MD
• Shanice Madkins
• Sobie Maduka
• Katie Jean Mahagan, PA-S
• Indira Cassandra Maharaj-Mikiel, M.D.

• Professional Counselor in Abilene, TX
• Providers in Abilene, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.