Individual provider Active NPI

Melodi Parker, M.ED., LPC

  • Professional Counselor
  • Desoto, TX
National Provider Identifier
1578968525
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70014 Issued in TX
Practice address
1636 N Hampton Rd
Suite 101
Desoto, TX 75115-8621
Phone
(469) 518-6034
NPI assigned
Oct 31, 2014
Last updated
Oct 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 70014 TX
Mental Health Counselor 101YM0800X 70014 TX
Professional Counselor 101YP2500X 70014 TX Primary

Addresses

Primary practice location

1636 N Hampton Rd
Suite 101
Desoto, TX 75115-8621

Mailing address

1636 N Hampton Rd
Suite 101
Desoto, TX 75115-8621
Phone (469) 518-6034

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 Education

State licenses

LicenseStateTypeSpecialty
70014TXMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Broken Pieces Counseling & Consulting Services Counselor Current Accepting new patients
Village Connect Professional Current Accepting new patients

Locations

1229 E Pleasant Run Rd
Ste 220
Desoto, TX 75115
Phone (214) 794-6844

1636 N Hampton Rd
Ste 101
Desoto, TX 75115
Phone (469) 518-6034

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1578968525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 N HAMPTON RD",
            "address_2": "SUITE 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158621",
            "telephone_number": "469-518-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 N HAMPTON RD",
            "address_2": "SUITE 101",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158621",
            "telephone_number": "469-518-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MELODI",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "70014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70014",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.