Melinda Ellen Pierson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022596 Issued in IL

Practice address

109 S Springer St
Carbondale, IL 62901-2654

Phone

(919) 464-7030

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

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.

• Integrated Health of Southern Illinois, LTD.

  • Sports Medicine (Family Medicine) Physician
  • Harrisburg, IL
  • NPI 1982738274

  Single Specialty

  Medicare reassignment NPD
• Pierson Counseling LLC

  • Community/Behavioral Health Agency
  • Carbondale, IL
  • NPI 1194522565
  NPD Authorized official
• Integrated Health of Southern Illinois

  • Family Medicine Physician
  • Carterville, IL
  • NPI 1790235497

  Single Specialty

  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1659947125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S SPRINGER ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012654",
            "telephone_number": "919-464-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S SPRINGER ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012654",
            "telephone_number": "919-464-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "MELINDA",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Gerald Phillips-Zee, PTA
• Physicians Surgery Center Anesthesia
• Physicians Surgery Center, LLC
• Matthew Picchietti
• Pierson Counseling LLC
• Tina Pierson, BS
• Jessica Carol Pind, LPN
• Thomas M Pinski, CRNA
• Anthony Joseph Pinto, CRNA
• Peter James Pirmann, D.M.D.

• Clinical Social Worker in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.