Active NPI
Melissa Pierce
- Mental Health Counselor
- New Boston, TX
National Provider Identifier
1417483272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 73854
- Practice address
- 1841 County Road 4101
New Boston, TX 75570-8461 - Phone
- (903) 243-0509
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9983 | TX | |
| Mental Health Counselor | 101YM0800X | 73854 | TX | Primary |
Addresses
Primary practice location
1841 County Road 4101
New Boston, TX 75570-8461
Mailing address
1841 County Road 4101
New Boston, TX 75570-8461
Phone (903) 243-0509
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73854 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moonbrook Mind & Body Integrative Services Incorporated | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Texarkana, AR
- NPI 1376173401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1417483272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 COUNTY ROAD 4101",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755708461",
"telephone_number": "903-243-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 COUNTY ROAD 4101",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755708461",
"telephone_number": "903-243-0509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "9983",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Boston, TX
- New Boston Pharmacy Inc (Family Health Mart)
- Nexion Health at New Boston, Inc. (New Boston Healthcare Center)
- Priyal Patel, M.D.
- Brooke Penny, DPT
- Emily Perry, COTA/L
- Trey W Pirkey, NP
- Ramchandra S. Gurav, M.D.P.a.
- Sheridan Reiter
- Respiratory Plus of Texas Inc (Respiratory Plus)
- RX Club of America PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.