Individual provider Active NPI

Melanie Pack

  • Psychiatric/Mental Health Nurse Practitioner
  • Paris, TN
National Provider Identifier
1386022119
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
19898 Issued in TN
Practice address
408 Virginia St
Paris, TN 38242-5341
Phone
(731) 642-0521
NPI assigned
May 13, 2015
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3019027 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19898 TN Primary

Addresses

Primary practice location

408 Virginia St
Paris, TN 38242-5341

Mailing address

408 Virginia St
PO Box 30
Paris, TN 38242-5341
Phone (731) 642-0521

Other practice location 1

1051 N 16th St
Murray, KY 42071-8511
Phone (270) 753-6622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027001877 TN Practitioner - Nurse Practitioner 1153630488 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians
Truhealth LLCGroup PAC ID 2163653478, 43 clinicians

Practice addresses (Care Compare)

1225 E Weisgarber Rd
Suite 190
Knoxville, TN 37909-2696
Phone (423) 259-5002

458 Hannings LN
Martin, TN 38237-3308
Phone (731) 588-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Feb 7, 2022 Accepting new patients
Behavioral Healthcare Center at Martin LLC CurrentSince Mar 1, 2023 Accepting new patients
Ultacare Medical PLLC Psychiatric/Mental Health CurrentSince Dec 15, 2025 Accepting new patients
DC Medical Services Inc CurrentSince Aug 1, 2025 Accepting new patients
Carey Counseling Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients

Locations

190 W Main St
Camden, TN 38320
Phone (731) 213-2662

19410 Main St W
Huntingdon, TN 38344
Phone (731) 986-4411

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

458 Hannings Ln
Martin, TN 38237
Phone (731) 558-2830

408 Virginia St
Paris, TN 38242
Phone (731) 644-1753

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356

1645 Florence Rd
Savannah, TN 38372
Phone (731) 926-4200

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/

Organizations & group practices 5

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1386022119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 VIRGINIA ST",
            "address_2": "PO BOX 30",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425341",
            "telephone_number": "731-642-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 VIRGINIA ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425341",
            "telephone_number": "731-642-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420718511",
            "country_code": "US",
            "telephone_number": "270-753-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACK",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2023-08-17",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3019027",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "19898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.