Active NPI
Melissa Renee Riddle, MS, LPC
- Professional Counselor
- Blue Springs, MO
National Provider Identifier
1497927727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2004016489
- Practice address
- 2129 NW 13TH St
Blue Springs, MO 64015-7734 - Phone
- (816) 588-4903
- NPI assigned
- Mar 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2004016489 | MO | Primary |
Addresses
Primary practice location
2129 NW 13TH St
Blue Springs, MO 64015-7734
Mailing address
2129 NW 13TH St
Blue Springs, MO 64015-7734
Phone (816) 588-4903
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004016489 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- melissariddle@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1497927727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 NW 13TH ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640157734",
"telephone_number": "816-588-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 NW 13TH ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640157734",
"telephone_number": "816-588-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "MELISSA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2004016489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.