Active NPI
Norely Melecio
- Mental Health Counselor
- Crestview, FL
National Provider Identifier
1386052595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10502
- Practice address
- 128 John King Rd
Suite 14
Crestview, FL 32539-5772 - Phone
- (850) 398-4155
- Fax
- (850) 398-4142
- NPI assigned
- Jul 31, 2014
- Last updated
- Jul 31, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10502 | FL | Primary |
Addresses
Primary practice location
128 John King Rd
Suite 14
Crestview, FL 32539-5772
Mailing address
128 John King Rd
Suite 14
Crestview, FL 32539-5772
Phone (850) 398-4155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10502 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1386052595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 JOHN KING RD",
"address_2": "SUITE 14",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395772",
"telephone_number": "850-398-4155",
"fax_number": "850-398-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 JOHN KING RD",
"address_2": "SUITE 14",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395772",
"telephone_number": "850-398-4155",
"fax_number": "850-398-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELECIO",
"first_name": "NORELY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.