Individual provider Active NPI

Melinda Anne Kallmeyer, LPC-S

  • Professional Counselor
  • North Richland Hills, TX
National Provider Identifier
1407368046
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68936 Issued in TX
Practice address
6051 Davis Blvd # 821277
North Richland Hills, TX 76180-6385
Phone
(817) 851-2042
NPI assigned
Nov 3, 2017
Last updated
Oct 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68936 TX Primary

Addresses

Primary practice location

6051 Davis Blvd # 821277
North Richland Hills, TX 76180-6385

Mailing address

4920 Harrell St
North Richland Hills, TX 76180-7938
Phone (817) 846-1082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110002468 TX Practitioner - Mental Health Counselor 4880122332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knight NHCC of NRH LLCGroup PAC ID 9537460118, 2 clinicians

Practice addresses (Care Compare)

5424 Rufe Snow Dr
Suite 304
North Richland Hills, TX 76180-6686
Phone (817) 576-2447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68936TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Knight NHCC of NRH LLC Professional Past Accepting new patients
Alliance Kids Care Mental Health PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1407368046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 HARRELL ST",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807938",
            "telephone_number": "817-846-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 DAVIS BLVD # 821277",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806385",
            "telephone_number": "817-851-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLMEYER",
        "first_name": "MELINDA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.