Active NPI
Roni Melton, LPC
- Counselor
- Hayden, ID
National Provider Identifier
1326878679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10105
- Practice address
- 8182 N Wayne Drive
Suite C
Hayden, ID 83835 - Phone
- (208) 762-8777
- NPI assigned
- Aug 2, 2024
- Last updated
- Aug 2, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10105 | ID | Primary |
Addresses
Primary practice location
8182 N Wayne Drive
Suite C
Hayden, ID 83835
Mailing address
8182 N Wayne Drive
Suite C
Hayden, ID 83835
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 |
|---|---|---|---|
| 10105 | ID | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Water Youth Ranch | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Hayden, ID
- NPI 1528795093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1326878679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8182 N WAYNE DRIVE",
"address_2": "SUITE C",
"city": "HAYDEN",
"state": "ID",
"postal_code": "83835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8182 N WAYNE DRIVE",
"address_2": "SUITE C",
"city": "HAYDEN",
"state": "ID",
"postal_code": "83835",
"telephone_number": "208-762-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "RONI",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "10105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
- Michael James McKim, DC
- Megan Leigh McMaster-Stine, CCC-SLP
- Medicine Man North Pharmacy Inc (Medicine Man Prairie Pharmacy)
- Medicine Man North Pharmacy Inc (Medicine Man Hayden Pharmacy)
- Medicine Man North Pharmacy Inc (Medicine Man Athol Pharmacy)
- Robert A Meyer, D.C.
- Tonya Miller, MPH, MCHC
- Mindful Health PLLC
- Monnier Counseling LLC
- Emily Monnier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.