Melissa Ford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00776201 Issued in NY

Practice address

94 Cherrywood Dr
Williamsville, NY 14221-1607

Phone

(716) 863-0489

NPI assigned

Nov 12, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1497357594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CHERRYWOOD DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CHERRYWOOD DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211607",
            "telephone_number": "716-863-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "00776201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW YORK EDUCATION DEPARTMENT",
            "identifier": "007762-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Williamsville",
            "affiliation": "N",
            "address_1": "94 Cherrywood Dr",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142211607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Alan Folck
• Kristin Marie Foley
• Larissa Fonville, LPN
• Heather Ford-Chatterton, RN
• Kristine A Ford
• Forest Medical Group, PLLC
• Peter WM Forgach, M.D.
• Holly Forrestel, RPH
• Haleigh Foster, AUD
• Rhonda Foster, L.P.N.

• Mental Health Counselor in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.