Individual provider Active NPI

Melissa Kay Hern, LPC

  • Professional Counselor
  • Branson West, MO
National Provider Identifier
1619466729
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017035839 Issued in MO
Practice address
8956 E State Highway 76
Branson West, MO 65737-9687
Phone
(172) 305-8144
NPI assigned
May 3, 2018
Last updated
Nov 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2017035839 MO
Professional Counselor 101YP2500X 2017035839 MO Primary

Addresses

Primary practice location

8956 E State Highway 76
Branson West, MO 65737-9687

Mailing address

32 Stones LN
Spokane, MO 65754-9400
Phone (417) 230-5814

Other identifiers 1

IdentifierTypeStateIssuer
490087069MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000598 MO Practitioner - Mental Health Counselor 6608212147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Fire Station Rd
Suite C
Kimberling City, MO 65686-9601
Phone (417) 230-5814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017035839MOMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Faith & Love Counseling Professional CurrentSince Jan 7, 2024 Accepting new patients
Gateway Counseling Center, Inc. Professional Current Accepting new patients

Locations

5 Fire Station Rd
Ste C
Kimberling City, MO 65686
Phone (417) 230-5814

8956 E State Highway 76
Reeds Spring, MO 65737
Phone (417) 230-5814

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1619466729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STONES LN",
            "city": "SPOKANE",
            "state": "MO",
            "postal_code": "657549400",
            "telephone_number": "417-230-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 E STATE HIGHWAY 76",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379687",
            "telephone_number": "172-305-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERN",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2017035839",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017035839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490087069",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson West, MO

Sources for this page

Verify at the official NPI Registry.