Individual provider Active NPI

Melissa Evans

  • Social Worker
  • Huntsville, AL
National Provider Identifier
1760080287
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5108G Issued in AL
Practice address
1200 Jordan LN NW Ste 5
Huntsville, AL 35816-3040
Phone
(256) 850-3150
Fax
(256) 850-3154
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5108G AL Primary

Addresses

Primary practice location

1200 Jordan LN NW Ste 5
Huntsville, AL 35816-3040

Mailing address

7609 Saxon Dr SW
Huntsville, AL 35802-2832
Phone (256) 797-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260224003218 AL Practitioner - Clinical Social Worker 0840771242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1324
Cullman, AL 35056

PO Box
Suite 1324
Cullman, AL 35056-1324

PO Box
Suite 603
Harpersville, AL 35078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5108GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Brick Road Counseling, LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

198 US Highway 278 E
Cullman, AL 35055
Phone (888) 355-7080

1403 Weatherly Plz SE
Ste 106
Huntsville, AL 35803
Phone (888) 355-7080

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1760080287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 SAXON DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022832",
            "telephone_number": "256-797-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JORDAN LN NW STE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163040",
            "telephone_number": "256-850-3150",
            "fax_number": "256-850-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "5108G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.