Susan Mellon

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204142 Issued in TX

Practice address

1101 Satellite VW Unit 603
Round Rock, TX 78665-1592

Phone

(512) 862-0687

NPI assigned

Jan 8, 2022

Last updated

Jan 8, 2022By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: therapyunlocked.suzymellon@155920.advancedmd-direct.com

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.

• Collins Counseling LLC

  • Professional Counselor
  • Round Rock, TX
  • NPI 1083187504

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1336800663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 AXIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787493736",
            "telephone_number": "512-529-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SATELLITE VW UNIT 603",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651592",
            "telephone_number": "512-862-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLON",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHERS",
            "identifier": "204142",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Thriveworks",
            "affiliation": "N",
            "address_1": "1101 Satellite Vw Unit 603",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Desarai Melendez
• Amber D Melero, PA-C
• Alexis Mellem
• Amy Melling, PH.D.
• Jennifer Mellison
• Nathan Menaker, MD
• Kazandra Nicole Menchaca
• Ilana Michal Mendelow, MD
• Amanda Mendez, LCSW
• Joanna Mendez, LCSW

• Marriage & Family Therapist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.