Individual provider Active NPI

Melynda Joy Larkin, LPC

  • Mental Health Counselor
  • Columbia, MO
National Provider Identifier
1396170825
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2011014364 Issued in MO
Practice address
207 Peach Way Ste 110
Columbia, MO 65203-4905
Phone
(573) 777-8775
Fax
(573) 777-8772
NPI assigned
Sep 3, 2013
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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 2011014364 MO Primary

Addresses

Primary practice location

207 Peach Way Ste 110
Columbia, MO 65203-4905

Mailing address

207 Peach Way Ste 110
Columbia, MO 65203-4905
Phone (573) 777-8775

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

LicenseStateTypeSpecialty
2011014364MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Wallace Counseling LLC CurrentSince Dec 17, 2023 Accepting new patients

Locations

207 Peach Way
#110
Columbia, MO 65203
Phone (573) 777-8775

Organizations & group practices 1

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1396170825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PEACH WAY STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034905",
            "telephone_number": "573-777-8775",
            "fax_number": "573-777-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PEACH WAY STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034905",
            "telephone_number": "573-777-8775",
            "fax_number": "573-777-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "MELYNDA",
        "middle_name": "JOY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011014364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.