Individual provider Active NPI

Melissa M Nord, LMHC

  • Mental Health Counselor
  • Ankeny, IA
National Provider Identifier
1619308053
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001724 Issued in IA
Practice address
1609 N Ankeny Blvd Ste 120
Ankeny, IA 50023-4112
Phone
(515) 635-5016
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 001724 IA Primary

Addresses

Primary practice location

1609 N Ankeny Blvd Ste 120
Ankeny, IA 50023-4112

Mailing address

521 NE 16TH St
Ankeny, IA 50021-4147
Phone (515) 635-5016

Other practice location 1

521 NE 16th St
Ankeny, IA 50021-4147
Phone (515) 635-5016

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

LicenseStateTypeSpecialty
001724IAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1619308053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 NE 16TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214147",
            "telephone_number": "515-635-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N ANKENY BLVD STE 120",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234112",
            "telephone_number": "515-635-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 NE 16th St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500214147",
            "country_code": "US",
            "telephone_number": "515-635-5016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORD",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-04-25",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.