Active NPI
Reba J McMellon, M.S., LPC
- Counselor
- Moss Point, MS
National Provider Identifier
1386924850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 498
- Practice address
- 18601 Highway 63
Moss Point, MS 39562-8579 - Phone
- (228) 588-6143
- NPI assigned
- Aug 27, 2011
- Last updated
- Aug 27, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 498 | GA | Primary |
Addresses
Primary practice location
18601 Highway 63
Moss Point, MS 39562-8579
Mailing address
PO Box 161
Hurley, MS 39555-0161
Phone (228) 588-6143
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 498 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1386924850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 161",
"city": "HURLEY",
"state": "MS",
"postal_code": "395550161",
"telephone_number": "228-588-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18601 HIGHWAY 63",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395628579",
"telephone_number": "228-588-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMELLON",
"first_name": "REBA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moss Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.