Individual provider Active NPI

Melissa McKissick, LPC

  • Mental Health Counselor
  • Henrico, VA
National Provider Identifier
1346743499
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007568 Issued in VA
Practice address
6200 Lakeside Ave
Henrico, VA 23228-5248
Phone
(804) 307-2801
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701007568 VA Primary

Addresses

Primary practice location

6200 Lakeside Ave
Henrico, VA 23228-5248

Mailing address

11221 Abingdon CT
North Chesterfield, VA 23236-4311
Phone (804) 839-0369

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

LicenseStateTypeSpecialty
0701007568VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Mind Therapy Services CurrentSince Jun 11, 2026 Accepting new patients
Virginia Center for Family Relations, PC Mental Health PastSince Jan 5, 2018 Accepting new patients

Locations

6200 Lakeside Ave
Richmond, VA 23228
Phone (804) 307-2801

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1346743499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 ABINGDON CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364311",
            "telephone_number": "804-839-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LAKESIDE AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285248",
            "telephone_number": "804-307-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSICK",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.