Active NPI
Melissa L Elliott, M ED LMFT
- Mental Health Counselor
- Warrenton, NC
National Provider Identifier
1598876757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 675
- Practice address
- 149 Campus Dr
Warrenton, NC 27589-8601 - Phone
- (919) 306-4815
- Fax
- (919) 761-9446
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 675 | NC | Primary |
| Professional Counselor | 101YP2500X | 675 | NC |
Addresses
Primary practice location
149 Campus Dr
Warrenton, NC 27589-8601
Mailing address
605 Vigo CT
Rolesville, NC 27571-9340
Phone (919) 761-9446
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13846 | Other | NC | NC HEALTH CHOICE |
| 6105048 | Medicaid | NC | |
| 8376 | Other | NC | FIVE COUNTY MENTAL HEALTH |
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 |
|---|---|---|---|
| 675 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions Counseling, PLLC. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Warrenton, NC
- NPI 1609182039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1598876757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 VIGO CT",
"city": "ROLESVILLE",
"state": "NC",
"postal_code": "275719340",
"telephone_number": "919-761-9446",
"fax_number": "919-761-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 CAMPUS DR",
"city": "WARRENTON",
"state": "NC",
"postal_code": "275898601",
"telephone_number": "919-306-4815",
"fax_number": "919-761-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "MELISSA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "M ED LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "675",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "675",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC HEALTH CHOICE",
"identifier": "13846",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105048",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIVE COUNTY MENTAL HEALTH",
"identifier": "8376",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.