Individual provider Active NPI

Melissa Williams

  • Mental Health Counselor
  • Pinckney, MI
National Provider Identifier
1568827632
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
733 Town TRL
Pinckney, MI 48169-8018
Phone
(517) 404-6972
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

733 Town TRL
Pinckney, MI 48169-8018

Mailing address

733 Town TRL
Pinckney, MI 48169-8018
Phone (517) 404-6972

Other names 1

  • Melissa Ann King Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240413000075 MI Practitioner - Mental Health Counselor 2163861923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peaceful Mind Counseling Services LLCGroup PAC ID 9739437138, 15 clinicians

Practice addresses (Care Compare)

2820 Baker Rd
Suite 100
Dexter, MI 48130-1196
Phone (734) 580-2920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Peaceful Mind Counseling Services LLC Counselor CurrentSince Feb 20, 2024 Accepting new patients
Mental Wellness Counseling Services, LLC Mental Health CurrentSince Apr 3, 2022 Accepting new patients
Sasco Dexter LLC PastSince Feb 20, 2024 Accepting new patients

Locations

2820 Baker Rd
Ste 100
Dexter, MI 48130
Phone (734) 580-2920

Interoperability endpoints

  • Direct secure messaging: melissawilliams@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1568827632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 TOWN TRL",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698018",
            "telephone_number": "517-404-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 TOWN TRL",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698018",
            "telephone_number": "517-404-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KING",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pinckney, MI

Sources for this page

Verify at the official NPI Registry.