Active NPI
Lauren Melchione
- Counselor
- Wake Forest, NC
National Provider Identifier
1447904065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 853 Durham Rd Ste A2
Wake Forest, NC 27587-8793 - Phone
- (919) 296-8100
- NPI assigned
- Feb 11, 2022
- Last updated
- Dec 30, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
853 Durham Rd Ste A2
Wake Forest, NC 27587-8793
Mailing address
853 Durham Rd Ste A2
Wake Forest, NC 27587-8793
Phone (919) 296-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 7, 2024 through Jan 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17219 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1447904065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 DURHAM RD STE A2",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878793",
"telephone_number": "919-296-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 DURHAM RD STE A2",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878793",
"telephone_number": "919-296-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHIONE",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.