Individual provider Active NPI

Melonie Sue Dolin, LPC, NCC

  • Professional Counselor
  • Poca, WV
National Provider Identifier
1649094087
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3030 Issued in WV
Practice address
509 Harmons Creek Rd
Poca, WV 25159-9089
Phone
(304) 951-2487
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

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
3030WVMDEmergency Medicine Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X WV
Professional Counselor 101YP2500X 3030 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

509 Harmons Creek Rd
Poca, WV 25159-9089

Mailing address

509 Harmons Creek Rd
Poca, WV 25159-9089
Phone (304) 951-2487

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2024.

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1649094087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 HARMONS CREEK RD",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251599089",
            "telephone_number": "304-951-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 HARMONS CREEK RD",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251599089",
            "telephone_number": "304-951-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIN",
        "first_name": "MELONIE",
        "middle_name": "SUE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poca, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.