Melissa D South, LPC, NCC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00450800 Issued in NJ

Practice address

76 S Orange Ave Ste 209
South Orange, NJ 07079-1923

Phone

(201) 740-7128

Fax

(973) 378-9575

NPI assigned

Oct 16, 2019

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• South Collective Counseling, LLC

  • Professional Counselor
  • Parsippany, NJ
  • NPI 1164196887
  NPD Authorized official

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1477195998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MONTCLAIR AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091025",
            "telephone_number": "201-407-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S ORANGE AVE STE 209",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791923",
            "telephone_number": "201-740-7128",
            "fax_number": "973-378-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00450800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Orange Medical Supplies Corp
• South Orange OB/GYN and Infertility Group
• South Orange Pharmacy LLC (South Orange Pharmacy)
• South Orange Sleep Solutions
• South Orange Village Medical Group, LLC
• Katherine Lousie Sparks, LMHC
• Spectrum Health and Wellness, LLC
• Bernard C Spier, MD
• Kate Stoltz, MS, ATC
• Davia D. Strachan, D.D.S.

• Mental Health Counselor in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.