Individual provider Active NPI

Melissa Christine Threadgill, LPC, R-DMT

  • Professional Counselor
  • Royersford, PA
National Provider Identifier
1750169215
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC019611 Issued in PA
Practice address
296 W Ridge Pike Ste 205
Royersford, PA 19468-1790
Phone
(484) 706-9465
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X
Professional Counselor 101YP2500X PC019611 PA Primary

Addresses

Primary practice location

296 W Ridge Pike Ste 205
Royersford, PA 19468-1790

Mailing address

704 Springfield CT
Downingtown, PA 19335-4200
Phone (610) 716-2464

Other practice location 1

80 Kleyona Ave
Phoenixville, PA 19460-2568
Phone (610) 716-2464

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

State licenses

LicenseStateTypeSpecialty
PC019611PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Everlasting Wellness LLC Past Accepting new patients

Organizations & group practices 1

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1750169215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 SPRINGFIELD CT",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354200",
            "telephone_number": "610-716-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 W RIDGE PIKE STE 205",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681790",
            "telephone_number": "484-706-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Kleyona Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194602568",
            "country_code": "US",
            "telephone_number": "610-716-2464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THREADGILL",
        "first_name": "MELISSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "LPC, R-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.