Individual provider Active NPI

Melvin Dubard Jr., ED.S., LPC

  • Professional Counselor
  • Varnville, SC
National Provider Identifier
1427598655
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5783 Issued in SC
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 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

LicenseStateTypeSpecialty
5783SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton School District One Past Accepting new patients
Hampton County School District PastSince Mar 7, 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": "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.

Verify at the official NPI Registry.