Melosa Foundation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MELOSA FOUNDATION

Practice address

3018 Old Minden Rd
Suite 1101
Bossier City, LA 71112-2476

Phone

(318) 220-6054

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Tiaumeka S Simmons-Thomas, MA, MA, LPC, NCCNPI 1467703322

Title

Diretor

Phone

(318) 220-6054

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiaumeka Simmons-Thomas, MA, MA, LPC, NCC

  • Mental Health Counselor
  • Bossier City, LA
  • NPI 1467703322
  NPD (past) Authorized official

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1588915441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "SUITE 1101",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122476",
            "telephone_number": "318-220-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "SUITE 1101",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122476",
            "telephone_number": "318-220-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELOSA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "SIMMONS-THOMAS",
        "authorized_official_first_name": "TIAUMEKA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRETOR",
        "authorized_official_telephone_number": "318-220-6054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.