Melissa Ann Lara, LMHC, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

406 McIntosh Ave
Orange Park, FL 32073-4834

Phone

(904) 596-9986

Fax

(904) 596-9988

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nightingale Behavioral and Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange Park, FL
  • NPI 1487008546
  NPD (past) Authorized official

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1770899650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 GARRISON DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921019",
            "telephone_number": "904-596-9986",
            "fax_number": "904-596-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MCINTOSH AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734834",
            "telephone_number": "904-596-9986",
            "fax_number": "904-596-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LMHC, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2016-04-14",
        "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": "MH12293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea K Langley
• Hannah Elizabeth Iskandar Langley, OMS-IV
• Debra Lanning, NNP
• Luis Fernando Laos, MD
• Anthony Mark Laquidara, ARNP
• Brenda Lee Larosee, APRN
• Larry L Han Inc Dba Acupuncture Treatment Center
• Dianne Larson, ARNP
• Lanah W Larson, RN
• Mary St. John Larson, LMT,CMTPT

• Behavior Analyst in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.