Individual provider Active NPI

Melanie Dawn Childers, LCMHCS

  • Professional Counselor
  • Boone, NC
National Provider Identifier
1740544790
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
336 Deerfield Rd
Boone, NC 28607-5008
Phone
(828) 266-1178
Fax
(828) 266-2484
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8830 NC
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

336 Deerfield Rd
Boone, NC 28607-5008

Mailing address

PO Box 2600
Boone, NC 28607-2600
Phone (828) 266-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • 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
I20240112001933 NC Practitioner - Mental Health Counselor 6406207539 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8830NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Dec 15, 2023 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc CurrentSince Dec 15, 2023 Accepting new patients
Watauga Medical Center Inc CurrentSince Mar 4, 2024 Accepting new patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Watauga Medical Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Watauga Medical Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

Organizations & group practices 8

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1740544790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2600",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286072600",
            "telephone_number": "828-266-1178",
            "fax_number": "828-266-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "828-266-1178",
            "fax_number": "828-266-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "MELANIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "8830",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.