Melissa Addison McKeldin I, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013496 Issued in VA

Practice address

8134 Old Keene Mill Rd Ste 101
Springfield, VA 22152-1849

Phone

(703) 569-8731

Fax

(703) 569-7248

NPI assigned

Apr 23, 2024

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

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Mental Health Counselor

Education

Marymount University, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Clinical ServicesGroup PAC ID 1254496888, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Associated Clinical Services

  • Clinical Psychologist
  • Springfield, VA
  • NPI 1073522124

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1376398115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ROOSEVELT BLVD APT B221",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220443121",
            "telephone_number": "302-270-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 OLD KEENE MILL RD STE 101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521849",
            "telephone_number": "703-569-8731",
            "fax_number": "703-569-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELDIN",
        "first_name": "MELISSA",
        "middle_name": "ADDISON",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Susan McGraw, M.S., BCBA
• Christopher Iain McHugh
• Casey McInerny
• Allison McKay, RDN
• Susan McKeever
• Matthew McKeon, CCC-SLP
• Akosua McKinney
• Stephanie Allison McLain, FNP
• Annie Xiaoyin Xu McLenahan, DPM
• Kristin Anne McNail, M.A., SLP-CF

• Professional Counselor in Springfield, VA
• Providers in Springfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.

Verify at the official NPI Registry.