Active NPI
Melissa Evans
- Social Worker
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5108G
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5108G | AL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellow Brick Road Counseling, LLC | Current | 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.
-
- Mental Health Counselor
- Cullman, AL
- NPI 1750863460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.