Individual provider Active NPI

Melissa Preece, LPC

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1346789575
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58839 Issued in TX
Practice address
4215 SW 21St Ave
Suite B
Amarillo, TX 79106-6011
Phone
(806) 676-9315
Fax
(806) 318-3046
NPI assigned
Feb 21, 2017
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58839 TX Primary

Addresses

Primary practice location

4215 SW 21St Ave
Suite B
Amarillo, TX 79106-6011

Mailing address

PO Box 3742
Amarillo, TX 79116-3742
Phone (806) 676-9315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425001634 TX Practitioner - Clinical Social Worker 7315224508 Reassigns benefits to 1 organization
Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2417 Hobbs Rd
Suite 105
Amarillo, TX 79109-1533
Phone (806) 676-9315

4215 SW 21St Ave
Suite B
Amarillo, TX 79106-6011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58839TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Forge Therapy CurrentSince Sep 16, 2025 Accepting new patients
Mangold Enterprise Clinical PastSince Mar 20, 2022 Accepting new patients

Locations

2417 Hobbs Rd
Ste 102
Amarillo, TX 79109
Phone (806) 676-9315

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1346789575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3742",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791163742",
            "telephone_number": "806-676-9315",
            "fax_number": "806-376-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SW 21ST AVE",
            "address_2": "SUITE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066011",
            "telephone_number": "806-676-9315",
            "fax_number": "806-318-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREECE",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.