Active NPI
Melanie Dawn Childers, LCMHCS
- Professional Counselor
- Boone, NC
National Provider Identifier
1740544790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8830 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles a Cannon Jr Memorial Hospital Inc | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Appalachian Regional Behavioral Healthcare Inc | Current | Accepting new patients | |
| Appalachian Regional Behavioral Healthcare Inc | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Watauga Medical Center Inc | Current | 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.
-
- Psychiatry Physician
- Linville, NC
- NPI 1629642475
-
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
- Psychiatry Physician
- Boone, NC
- NPI 1407921802
-
- Hospitalist Physician
- Boone, NC
- NPI 1528134194
-
- Psychiatric Hospital
- Linville, NC
- NPI 1558975219
-
- Psychiatry Physician
- Linville, NC
- NPI 1518906700
-
- Land Ambulance
- Boone, NC
- NPI 1255120184
-
- Hematology & Oncology Physician
- Boone, NC
- NPI 1861567893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.