Active NPI
Melissa Mossford-Carroll, BCBA; LMHC
- Behavior Analyst
- Palm Coast, FL
National Provider Identifier
1760614713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 23 Rybar LN
Palm Coast, FL 32164-6445 - Phone
- (386) 586-6658
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Behavior Analyst
- Gainesville, FL
- NPI 1548403819
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 |
|---|---|---|---|
| MH6790 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Academy, Inc | Mental Health | Current | Accepting new patients |
| Behavioral Learning Systems, Inc. | Behavior Analyst | Past | Accepting new patients |
| All Therapies Support, Inc | Mental Health | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | MH6790 | FL |
Addresses
NPPES NPI RegistryPrimary practice location
23 Rybar LN
Palm Coast, FL 32164-6445
Mailing address
23 Rybar LN
Palm Coast, FL 32164-6445
Phone (386) 316-3004
Other practice location 1
1002 Dana Rd
Hendersonville, NC 28792-3069
Phone (386) 316-3004
Other practice location 2
794 Nebraska Ave
Toms River, NJ 08753-8706
Phone (386) 316-3004
Other practice location 3
4411 Kensington Rd
Tallahassee, FL 32303-7616
Phone (386) 316-3004
Other practice location 4
1408 NW 6th St
Gainesville, FL 32601-4020
Phone (352) 373-4411
Other identifiers 5
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105642800 | Medicaid | FL | |
| 019240300 | Medicaid | FL | |
| 108326300 | Medicaid | FL | |
| 106672600 | Medicaid | FL | |
| 017749900 | Medicaid | FL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2025.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1760614713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 RYBAR LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321646445",
"telephone_number": "386-316-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 RYBAR LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321646445",
"telephone_number": "386-586-6658"
}
],
"practiceLocations": [
{
"address_1": "1002 Dana Rd",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287923069",
"country_code": "US",
"telephone_number": "386-316-3004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "794 Nebraska Ave",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087538706",
"country_code": "US",
"telephone_number": "386-316-3004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4411 Kensington Rd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323037616",
"country_code": "US",
"telephone_number": "386-316-3004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1408 NW 6th St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326014020",
"country_code": "US",
"telephone_number": "352-373-4411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSSFORD-CARROLL",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "BCBA; LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6790",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105642800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019240300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108326300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106672600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017749900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.