Individual provider Active NPI

Kimberly Vaughn Melton, LCSW

  • Mental Health Counselor
  • Oxford, MS
National Provider Identifier
1659732162
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6172 Issued in MS
Practice address
612 McLarty Rd Ste 9
Oxford, MS 38655-4500
Phone
(662) 281-6326
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 C6172 MS Primary

Addresses

Primary practice location

612 McLarty Rd Ste 9
Oxford, MS 38655-4500

Mailing address

612 McLarty Rd Ste 9
Oxford, MS 38655-4500
Phone (662) 281-6326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20251218000745 MS Practitioner - Clinical Social Worker 8325408131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2899 S Lamar Blvd
Oxford, MS 38655-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C6172MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Counseling Services LLC CurrentSince Oct 12, 2025 Accepting new patients
Life Balance PLLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

2899 S Lamar Blvd
Oxford, MS 38655
Phone (662) 281-6326

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1659732162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MCLARTY RD STE 9",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554500",
            "telephone_number": "662-281-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MCLARTY RD STE 9",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554500",
            "telephone_number": "662-281-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "KIMBERLY",
        "middle_name": "VAUGHN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "C6172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.