Active NPI
Melissa M Ridge, LLPC
- Professional Counselor
- Potterville, MI
National Provider Identifier
1326325382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401016043
- Practice address
- 219 Constitution Cir
Potterville, MI 48876-9521 - Phone
- (517) 983-9406
- NPI assigned
- Nov 4, 2011
- 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 | 6401016043 | MI | Primary |
Addresses
Primary practice location
219 Constitution Cir
Potterville, MI 48876-9521
Mailing address
219 Constitution Cir
Potterville, MI 48876-9521
Phone (517) 983-9406
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 |
|---|---|---|---|
| 6401016043 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1326325382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 CONSTITUTION CIR",
"city": "POTTERVILLE",
"state": "MI",
"postal_code": "488769521",
"telephone_number": "517-983-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 CONSTITUTION CIR",
"city": "POTTERVILLE",
"state": "MI",
"postal_code": "488769521",
"telephone_number": "517-983-9406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGE",
"first_name": "MELISSA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401016043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potterville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.