Individual provider Active NPI

Melissa Mossford-Carroll, BCBA; LMHC

  • Behavior Analyst
  • Palm Coast, FL
National Provider Identifier
1760614713
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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.

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
MH6790FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Mental Health Counselor 101YM0800X MH6790 FL

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
105642800MedicaidFL
019240300MedicaidFL
108326300MedicaidFL
106672600MedicaidFL
017749900MedicaidFL

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.

Verify at the official NPI Registry.