Melissa E Tate-Scruse, ED.D, LCMHCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S9529 Issued in NC

Practice address

2210 Coronation Blvd Ste C
Charlotte, NC 28227-6799

Phone

(704) 957-3865

Fax

(704) 919-0474

NPI assigned

May 3, 2010

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cohesive Counseling Associates PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1154809879
  NPD Authorized official

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1457678260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 CORONATION BLVD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276799",
            "telephone_number": "704-957-3865",
            "fax_number": "704-919-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 CORONATION BLVD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276799",
            "telephone_number": "704-957-3865",
            "fax_number": "704-919-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE-SCRUSE",
        "first_name": "MELISSA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "ED.D, LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPC9529",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2087",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S9529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Tassinari, PTA
• Daniel M Tassone, PHARM.D.
• Tassy Trucks (Tassy Transportation)
• Selin Tastan, PH.D.
• Tate Healthcare Serives
• Britannia Elaine Tate, N.P.
• Chandra R Tate, FNP
• Christian Marie Tate, LCSW-A
• Elizabeth Kathleen Tate, LCMHCA, NCC
• George Whaley Tate, M.D.

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.