Active NPI
Melanie Jayne Nimmo, LPCC
- Counselor
- Woodstock, GA
National Provider Identifier
1467977645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1700357
- Practice address
- 907 Castleton PL
Woodstock, GA 30189-7194 - Phone
- (440) 714-2802
- NPI assigned
- Aug 8, 2017
- 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 | 1700357 | OH | Primary |
Addresses
Primary practice location
907 Castleton PL
Woodstock, GA 30189-7194
Mailing address
907 Castleton PL
Woodstock, GA 30189-7194
Phone (440) 714-2802
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 |
|---|---|---|---|
| 1700357 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Therapy | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1699416412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1467977645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 CASTLETON PL",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301897194",
"telephone_number": "440-714-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 CASTLETON PL",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301897194",
"telephone_number": "440-714-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMMO",
"first_name": "MELANIE",
"middle_name": "JAYNE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "1700357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.