Individual provider Active NPI

Melanie L Davis, LPC

  • Mental Health Counselor
  • Hoxie, AR
National Provider Identifier
1376676692
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P0708044 Issued in AR
Practice address
503 SE Lindsey St
Hoxie, AR 72433-2224
Phone
(870) 886-1333
Fax
(870) 886-1334
NPI assigned
Mar 14, 2007
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 P0708044 AR Primary

Addresses

Primary practice location

503 SE Lindsey St
Hoxie, AR 72433-2224

Mailing address

PO Box 299
Hoxie, AR 72433-0299
Phone (870) 886-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240112000979 AR Practitioner - Mental Health Counselor 0345395489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

503 SE Lindsey St
Hoxie, AR 72433-2224
Phone (870) 886-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Behavioral Health Services of Arkansas, Inc CurrentSince Jan 1, 2024 Accepting new patients
Hometown Behavioral Health Services of Ar Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Dayspring Services of Arkansas LLC Past Accepting new patients

Locations

503 SE Lindsey St
Hoxie, AR 72433
Phone (870) 886-1333

353 E 8th St
Mountain Home, AR 72653
Phone (870) 425-3125

Organizations & group practices 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1376676692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "HOXIE",
            "state": "AR",
            "postal_code": "724330299",
            "telephone_number": "870-886-1333",
            "fax_number": "870-886-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SE LINDSEY ST",
            "city": "HOXIE",
            "state": "AR",
            "postal_code": "724332224",
            "telephone_number": "870-886-1333",
            "fax_number": "870-886-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0708044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoxie, AR

Sources for this page

Verify at the official NPI Registry.