Individual provider Active NPI

Melinda G. Siders, LMFT

  • Marriage & Family Therapist
  • Nashville, TN
National Provider Identifier
1386930279
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2456 Issued in TN
Practice address
210 25TH Ave N Ste 700
Nashville, TN 37203-1611
Phone
(615) 285-9434
Fax
(559) 366-7211
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2456 TN Primary
Marriage & Family Therapist 106H00000X 70649 CA
Marriage & Family Therapist 106H00000X LMFT110318 CA

Addresses

Primary practice location

210 25TH Ave N Ste 700
Nashville, TN 37203-1611

Mailing address

756 N. Mahaleb Street
Tulare, CA 93274
Phone (559) 303-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 20, 2024 through Feb 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
70649CAMDMarriage & Family Therapist
LMFT110318CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1386930279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N. MAHALEB STREET",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "93274",
            "telephone_number": "559-303-1427",
            "fax_number": "559-366-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031611",
            "telephone_number": "615-285-9434",
            "fax_number": "559-366-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDERS",
        "first_name": "MELINDA",
        "middle_name": "G.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "2456",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "70649",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT110318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.