Active NPI
Moseley E Mellinger, LPC, NCC
- Professional Counselor
- Haynesville, LA
National Provider Identifier
1598007320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2762
- Practice address
- 219 Carroll LN
Haynesville, LA 71038-7127 - Phone
- (318) 927-6441
- Fax
- (318) 927-6441
- NPI assigned
- Mar 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2762 | LA | Primary |
| Professional Counselor | 101YP2500X | 223804 | NC |
Addresses
Primary practice location
219 Carroll LN
Haynesville, LA 71038-7127
Mailing address
219 Carroll LN
Haynesville, LA 71038-7127
Phone (318) 927-6441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2762 | LA | MD | Specialist |
| 223804 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1598007320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 CARROLL LN",
"city": "HAYNESVILLE",
"state": "LA",
"postal_code": "710387127",
"telephone_number": "318-927-6441",
"fax_number": "318-927-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 CARROLL LN",
"city": "HAYNESVILLE",
"state": "LA",
"postal_code": "710387127",
"telephone_number": "318-927-6441",
"fax_number": "318-927-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLINGER",
"first_name": "MOSELEY",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-19",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2762",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "223804",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haynesville, LA
- James K Killgore Inc (Killgores Pharmacy)
- Kilgore Pharmacy LLC
- Kilgore Pharmacy LLC (Killgore Pharmacy)
- Jacinda Meadors
- Sandra Killgore Meisler, PH
- Samantha Modisette
- Eddy Waller Sherman II, DDS
- Springhill Medical Services, Inc. (Butler-Abshire Medical Clinic)
- Ted S Pharmacy LLC (Ted's Pharmacy)
- Ted's Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.