Individual provider Active NPI

Melissa Cordell, LPC

  • Professional Counselor
  • Blacksburg, VA
National Provider Identifier
1316646326
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007782 Issued in VA
Practice address
700 University City Blvd
Blacksburg, VA 24060-2706
Phone
(540) 961-8300
Fax
(540) 961-8465
NPI assigned
Feb 28, 2023
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007782 VA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

700 University City Blvd
Blacksburg, VA 24060-2706

Mailing address

7594 Old Peppers Ferry Loop
Fairlawn, VA 24141-8846
Phone (540) 250-3667

Other practice location 1

260 Webbs Mill Rd N
Floyd, VA 24091-3679
Phone (540) 745-2047

Other practice location 2

401 W Main St
Radford, VA 24141-1588
Phone (540) 838-8000

Other practice location 3

327 N Washington Ave
Pulaski, VA 24301-5009
Phone (540) 994-5023

Other practice location 4

705 Wenonah Ave
Pearisburg, VA 24134-1660
Phone (540) 921-2238

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007782VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1316646326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7594 OLD PEPPERS FERRY LOOP",
            "city": "FAIRLAWN",
            "state": "VA",
            "postal_code": "241418846",
            "telephone_number": "540-250-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Webbs Mill Rd N",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913679",
            "country_code": "US",
            "telephone_number": "540-745-2047",
            "fax_number": "540-322-1835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Main St",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241411588",
            "country_code": "US",
            "telephone_number": "540-838-8000",
            "fax_number": "540-904-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "VA",
            "postal_code": "243015009",
            "country_code": "US",
            "telephone_number": "540-994-5023",
            "fax_number": "540-994-5028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Wenonah Ave",
            "address_purpose": "LOCATION",
            "city": "Pearisburg",
            "state": "VA",
            "postal_code": "241341660",
            "country_code": "US",
            "telephone_number": "540-921-2238",
            "fax_number": "540-921-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007782",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.