Individual provider Active NPI

Melinda Kitchens, CSW

  • Social Worker
  • Dallas, TX
National Provider Identifier
1639899842
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
67829 Issued in TX
Practice address
11910 Greenville Ave Ste 511
Dallas, TX 75243-9388
Phone
(214) 937-9180
NPI assigned
Aug 29, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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 67829 TX
Social Worker 104100000X 67829 TX Primary

Addresses

Primary practice location

11910 Greenville Ave Ste 511
Dallas, TX 75243-9388

Mailing address

11910 Greenville Ave Ste 511
Dallas, TX 75243-9388
Phone (214) 937-9180

Other practice location 1

6107 Gaston Ave Apt B
Dallas, TX 75214-4305
Phone (214) 226-0961

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
67829TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Mental Health, PLLC CurrentSince Nov 27, 2022 Accepting new patients
Onward Therapy & Wellness PLLC Mental Health CurrentSince Apr 24, 2022 Accepting new patients

Locations

11910 Greenville Ave
Ste 511
Dallas, TX 75243
Phone (214) 937-9180

11910 Greenville Ave
Ste T511
Dallas, TX 75243
Phone (214) 937-9180

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1639899842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE STE 511",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439388",
            "telephone_number": "214-937-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE STE 511",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439388",
            "telephone_number": "214-937-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6107 Gaston Ave Apt B",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752144305",
            "country_code": "US",
            "telephone_number": "214-226-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "MELINDA",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67829",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "67829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.