Active NPI
Melvin Dubard Jr., ED.S., LPC
- Professional Counselor
- Varnville, SC
National Provider Identifier
1427598655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5783
- Practice address
- 372 Pine St E
Varnville, SC 29944-9618 - Phone
- (803) 943-9434
- Fax
- (803) 943-9454
- NPI assigned
- Mar 7, 2017
- Last updated
- Mar 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5783 | SC | Primary |
Addresses
Primary practice location
372 Pine St E
Varnville, SC 29944-9618
Mailing address
PO Box 784
Hampton, SC 29924-0784
Phone (803) 943-9434
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 |
|---|---|---|---|
| 5783 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton School District One | Past | Accepting new patients | |
| Hampton County School District | Past | 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.
-
- Local Education Agency (LEA)
- Varnville, SC
- NPI 1700471810
-
- Local Education Agency (LEA)
- Varnville, SC
- NPI 1073561320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1427598655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 784",
"city": "HAMPTON",
"state": "SC",
"postal_code": "299240784",
"telephone_number": "803-943-9434",
"fax_number": "803-943-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 PINE ST E",
"city": "VARNVILLE",
"state": "SC",
"postal_code": "299449618",
"telephone_number": "803-943-9434",
"fax_number": "803-943-9454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBARD",
"first_name": "MELVIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ED.S., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Varnville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.