Active NPI
Wynne Elaine Melland, LPC
- Counselor
- San Antonio, TX
National Provider Identifier
1427305119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4816
- Practice address
- 19743 Encino Way
San Antonio, TX 78259-2328 - Phone
- (210) 862-1787
- NPI assigned
- Aug 13, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4816 | OK | Primary |
| Professional Counselor | 101YP2500X | 63343 | TX |
Addresses
Primary practice location
19743 Encino Way
San Antonio, TX 78259-2328
Mailing address
19743 Encino Way
San Antonio, TX 78259-2328
Phone (210) 862-1787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 4, 2024 through Nov 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63343 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1427305119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19743 ENCINO WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592328",
"telephone_number": "210-862-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19743 ENCINO WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592328",
"telephone_number": "210-862-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLAND",
"first_name": "WYNNE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "4816",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63343",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.