Individual provider Active NPI

Melanie Hohensee Ayres, PH.D., LPC

  • Professional Counselor
  • Lumberton, TX
National Provider Identifier
1689643314
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20027 Issued in TX
Practice address
105 Canyon Lake Cir
Lumberton, TX 77657-3701
Phone
(409) 200-2220
Fax
(409) 440-3344
NPI assigned
Mar 15, 2006
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 20027 TX Primary

Addresses

Primary practice location

105 Canyon Lake Cir
Lumberton, TX 77657-3701

Mailing address

105 Canyon Lake Cir
Lumberton, TX 77657-3701
Phone (409) 200-2220

Other practice location 1

7980 Anchor Dr
Bldg. 100A
Port Arthur, TX 77642-8266
Phone (409) 727-0014

Other practice location 2

4749 Odom Rd
Beaumont, TX 77706-7080
Phone (409) 200-2220

Other identifiers 1

IdentifierTypeStateIssuer
1780447-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240119001738 TX Practitioner - Mental Health Counselor 0648622175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newpath GroupGroup PAC ID 8820315138, 17 clinicians

Practice addresses (Care Compare)

105 Canyon Lake Cir
Lumberton, TX 77657-3701
Phone (409) 200-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20027TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion at Home Inc Current Accepting new patients
Newpath Group Professional CurrentSince Jan 1, 2024 Accepting new patients
Dr Cate Carabelle Clinical Psychologist PLLC PastSince Mar 26, 2007 Accepting new patients
Matresa Wooding LCSW PLLC PastSince Jan 6, 2014 Accepting new patients

Locations

4749 Odom Rd
Beaumont, TX 77706
Phone (409) 200-2220

105 Canyon Lake Cir
Lumberton, TX 77657
Phone (409) 200-2220

Organizations & group practices 4

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1689643314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CANYON LAKE CIR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776573701",
            "telephone_number": "409-200-2220",
            "fax_number": "409-440-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CANYON LAKE CIR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776573701",
            "telephone_number": "409-200-2220",
            "fax_number": "409-440-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7980 Anchor Dr",
            "address_2": "Bldg. 100A",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776428266",
            "country_code": "US",
            "telephone_number": "409-727-0014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4749 Odom Rd",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777067080",
            "country_code": "US",
            "telephone_number": "409-200-2220",
            "fax_number": "409-440-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYRES",
        "first_name": "MELANIE",
        "middle_name": "HOHENSEE",
        "name_prefix": "Mrs.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780447-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

Verify at the official NPI Registry.