Individual provider Active NPI

Melissa Ann Clawson, LPC

  • Mental Health Counselor
  • Kennesaw, GA
National Provider Identifier
1710123716
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC004204 Issued in GA
Practice address
1050 Shiloh Rd NW Ste 316
Kennesaw, GA 30144-8100
Phone
(770) 778-8999
NPI assigned
Dec 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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 LPC004204 GA Primary

Addresses

Primary practice location

1050 Shiloh Rd NW Ste 316
Kennesaw, GA 30144-8100

Mailing address

316 Niblewill PL
Marietta, GA 30066-8605
Phone (770) 778-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260427002579 PA Practitioner - Mental Health Counselor 7810297785 Reassigns benefits to 1 organization
I20260506001510 MD Practitioner - Mental Health Counselor 7810297785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11368 Williamsport Pike
Greencastle, PA 17225-8531

4014 J Mountville Rd
Unit a
Jefferson, MD 21755-7713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC004204GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Online Resources & Consulting, LLC Mental Health Past Accepting new patients
Breakthrough Counseling Services, LLC PastSince Nov 12, 2025 Accepting new patients

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": "1229817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229817600000",
    "number": "1710123716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NIBLEWILL PL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668605",
            "telephone_number": "770-778-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SHILOH RD NW STE 316",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301448100",
            "telephone_number": "770-778-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC004204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.