Individual provider Active NPI

Melanie Rose Norman, LCMHC, LCAS

  • Professional Counselor
  • Waynesville, NC
National Provider Identifier
1417296765
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7807 Issued in NC
Practice address
28 Walnut St Ste 4
Waynesville, NC 28786-3246
Phone
(828) 507-1739
Fax
(828) 333-4288
NPI assigned
Feb 6, 2013
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2509 NC
Mental Health Counselor 101YM0800X 7807 NC
Professional Counselor 101YP2500X 7807 NC Primary

Addresses

Primary practice location

28 Walnut St Ste 4
Waynesville, NC 28786-3246

Mailing address

86 Melody LN
Maggie Valley, NC 28751-9613
Phone (828) 507-1739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2509NCMDChiropractor
7807NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1417296765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MELODY LN",
            "city": "MAGGIE VALLEY",
            "state": "NC",
            "postal_code": "287519613",
            "telephone_number": "828-507-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WALNUT ST STE 4",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863246",
            "telephone_number": "828-507-1739",
            "fax_number": "828-333-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "MELANIE",
        "middle_name": "ROSE",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2509",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7807",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.