Active NPI
Melody Workman
- Mental Health Counselor
- Ketchikan, AK
National Provider Identifier
1710560891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3808 Chatham Ave
Ketchikan, AK 99901-5363 - Phone
- (907) 202-8684
- Fax
- (907) 202-8684
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AK | Primary |
Addresses
Primary practice location
3808 Chatham Ave
Ketchikan, AK 99901-5363
Mailing address
PO Box 7475
Ketchikan, AK 99901-2475
Phone (907) 202-8684
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1713721 | Medicaid | AK | |
| 17073638 | Medicaid | AK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1710560891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7475",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999012475",
"telephone_number": "907-202-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 CHATHAM AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015363",
"telephone_number": "907-202-8684",
"fax_number": "907-202-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKMAN",
"first_name": "MELODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1713721",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17073638",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.