Melissa RW George, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

405 E Prospect Rd
Fort Collins, CO 80525-1058

Phone

(970) 658-0661

NPI assigned

Oct 1, 2019

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1770124679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E DRAKE RD APT B3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254617",
            "telephone_number": "574-315-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251058",
            "telephone_number": "970-658-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MELISSA",
        "middle_name": "RW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Gentry, LCSW
• Sofia Gentry, MSW, LCSW
• Maya Nicole Georgallis, OD
• Brenda Marie George, D.O.
• Joseph C George, MD
• Rose George, MD
• Susan Christine George, RN
• Margo J Geppert, M.D.
• Galen Phil Geraets, D.D.S.
• Mindy Christine Geraets, MSN, FNP

• Marriage & Family Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.