Active NPI
Melissa Preece, LPC
- Clinical Social Worker
- Amarillo, TX
National Provider Identifier
1346789575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58839
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58839 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro-Forge Therapy | Current | Accepting new patients | |
| Mangold Enterprise | Clinical | Past | 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.
-
- Mental Health Counselor
- Amarillo, TX
- NPI 1992506729
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
- Cathy L Powers, FNP
- Ana Raquel Prado, FNP
- Amy J Praeuner, RN, NP-C
- Precision Respiratory Services Inc
- Jason S Preece, CRNA
- Preferred Imaging of Amarillo, LLC
- Premier Vision Services PLLC
- Presbyterian Home for Children
- Brady Prescott, MA, LPC
- Presgar Imaging of Amarillo, LP (Texas Diagnostic Imaging Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.