Individual provider Active NPI

Melanie Renee Elks, MSW, LCSW

  • Mental Health Counselor
  • Washington, NC
National Provider Identifier
1629061254
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C004307 Issued in NC
Practice address
305 Pine Lane
Washington, NC 27889
Phone
(252) 402-0234
Fax
(252) 975-3483
NPI assigned
Aug 30, 2005
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C004307 NC Primary
Clinical Social Worker 1041C0700X C004307 NC

Addresses

Primary practice location

305 Pine Lane
Washington, NC 27889

Mailing address

305 Pine Lane
Washington, NC 27889
Phone (252) 402-0234

Other identifiers 6

IdentifierTypeStateIssuer
284162OtherMHN
6002763MedicaidNC
015RFOtherBCBS GROUP
6005246MedicaidNC
1327COtherBCBS
305567OtherMHN GROUP

Other names 1

  • Mrs. Melanie Renee Tyndall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040519001563 NC Practitioner - Clinical Social Worker 1658362546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

305 Pine LN
Washington, NC 27889-9674
Phone (252) 402-0234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004307NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pamlico Counseling PLLC Mental Health CurrentSince Mar 1, 2005 Accepting new patients
Inner Banks Counseling Inc. Mental Health CurrentSince Oct 1, 2020 Accepting new patients

Locations

105 E 3rd St
Washington, NC 27889
Phone (252) 362-9092

227 N Market St
Washington, NC 27889
Phone (252) 975-2027

408 E 11th St
Washington, NC 27889
Phone (252) 943-5607

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1629061254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PINE LANE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-402-0234",
            "fax_number": "252-975-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PINE LANE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-402-0234",
            "fax_number": "252-975-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKS",
        "first_name": "MELANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C004307",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004307",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "284162",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002763",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "015RF",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005246",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1327C",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN GROUP",
            "identifier": "305567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "TYNDALL",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "MSW,  LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.