Kelly Michelle Melvin, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.165462 Issued in OH

Practice address

824 Bowtown Rd
Delaware, OH 43015-9661

Phone

(740) 695-7795

Fax

(740) 362-4411

NPI assigned

Mar 20, 2018

Last updated

Mar 20, 2018By 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

Other names 1

• Miss Kelly Michelle Denton Former name

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1558865113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BOWTOWN RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159661",
            "telephone_number": "740-695-7795",
            "fax_number": "740-362-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BOWTOWN RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159661",
            "telephone_number": "740-695-7795",
            "fax_number": "740-362-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S Henry St",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430152978",
            "country_code": "US",
            "telephone_number": "740-369-4482 x1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DENTON",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaydip Mehta
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• Gregory K Mellon, D.C.,D.A.B.C.O.
• Kim Leigh Mellon, L.I.S.W.
• Joel Allen Mercer
• Gene Gavin Metz, R.PH., PHARMD
• Phyllis R. Meyer, M.A., CCC-SLP
• Nathan Meyers
• Jackie Z. Michaelides

• Addiction (Substance Use Disorder) Counselor in Delaware, OH
• Providers in Delaware, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.