Active NPI
Courtney J Melton, CAPSW
- Mental Health Counselor
- Stevens Point, WI
National Provider Identifier
1760106900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 132937-121
- Practice address
- 1547 Strongs Ave Ste D
Stevens Point, WI 54481-3566 - Phone
- (715) 303-2900
- NPI assigned
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 132937-121 | WI | Primary |
Addresses
Primary practice location
1547 Strongs Ave Ste D
Stevens Point, WI 54481-3566
Mailing address
1320 Pleasant Dr Apt 2
Plover, WI 54467-9109
Phone (715) 520-7631
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
| License | State | Type | Specialty |
|---|---|---|---|
| 132937-121 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1760106900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 PLEASANT DR APT 2",
"city": "PLOVER",
"state": "WI",
"postal_code": "544679109",
"telephone_number": "715-520-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1547 STRONGS AVE STE D",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813566",
"telephone_number": "715-303-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "COURTNEY",
"middle_name": "J",
"credential": "CAPSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "132937-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.