Active NPI
Melody Hawkins
- Professional Counselor
- Red Oak, TX
National Provider Identifier
1487258240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77130
- Practice address
- 504 Roaring Creek Dr
Red Oak, TX 75154-3947 - Phone
- (469) 371-4186
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77130 | TX | Primary |
| Counselor | 101Y00000X | 77310 | TX |
Addresses
Primary practice location
504 Roaring Creek Dr
Red Oak, TX 75154-3947
Mailing address
504 Roaring Creek Dr
Red Oak, TX 75154-3947
Phone (469) 371-4186
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77310 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1487258240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 ROARING CREEK DR",
"city": "RED OAK",
"state": "TX",
"postal_code": "751543947",
"telephone_number": "469-371-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 ROARING CREEK DR",
"city": "RED OAK",
"state": "TX",
"postal_code": "751543947",
"telephone_number": "469-371-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "MELODY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77130",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "77310",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.