Individual provider Active NPI

Holly Renee' Melton, M.S., LPC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1427688274
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10660 Issued in OK
Practice address
6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Phone
(405) 810-0054
NPI assigned
Jan 21, 2020
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10660 OK Primary

Addresses

Primary practice location

6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286

Mailing address

1036 NW 2ND St
Moore, OK 73160-2158
Phone (405) 881-3637

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Transitions_Information@TransitionsOKC.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023000478 OK Practitioner - Mental Health Counselor 2769915289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Therapy Solutions of Oklahoma, LLCGroup PAC ID 2264808211, 22 clinicians

Practice addresses (Care Compare)

620 NW 5TH St D
Main Office
Moore, OK 73160-3947
Phone (405) 208-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10660OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

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.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1427688274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 NW 2ND ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602158",
            "telephone_number": "405-881-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N BROOKLINE AVE STE 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124286",
            "telephone_number": "405-810-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "HOLLY",
        "middle_name": "RENEE'",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-03-29",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Transitions_Information@TransitionsOKC.com",
            "affiliation": "N",
            "address_1": "6051 N Brookline Ave Ste 112",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731124286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.