Michelle Melendy, MS, MFT, LADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

01071 Issued in NV

Practice address

1490 Grimes St
Fallon, NV 89406-3103

Phone

(775) 423-1412

Fax

(775) 423-4054

NPI assigned

Dec 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Marriage and Family Therapist

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Churchill Council on Alcohol & Other Drugs

  • Community/Behavioral Health Agency
  • Fallon, NV
  • NPI 1346788411
  NPD (past)
• Churchill Council on Alcohol & Other Drugs

  • Substance Abuse Rehabilitation Facility
  • Fallon, NV
  • NPI 1578764361
  NPD (past)

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1487957411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 GRIMES ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 GRIMES ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063103",
            "telephone_number": "775-423-1412",
            "fax_number": "775-423-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDY",
        "first_name": "MICHELLE",
        "credential": "MS, MFT, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01071",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01232-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelly McKenzie
• Michelle McKnight
• Jessica McLaren, M.S. CCC-SLP
• Karen Diane Meek, RN
• Kathy Melendy
• Audrea Mendiola
• Lacy Mae Menzies, MS MFT LADC, LADC-S
• Michael Lagrone
• Michelle Diedrichsen
• Ian Haskell Mikolaj, MD

• Marriage & Family Therapist in Fallon, NV
• Providers in Fallon, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.