Individual provider Active NPI

Melissa Leigh McDaniel, M. ED., LPC, NCC

  • Professional Counselor
  • Belmont, NC
National Provider Identifier
1790842409
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4521 Issued in NC
Practice address
7202 W Wilkinson Blvd Ste E
Belmont, NC 28012-6224
Phone
(704) 825-0541
Fax
(704) 825-0542
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4521 NC Primary

Addresses

Primary practice location

7202 W Wilkinson Blvd Ste E
Belmont, NC 28012-6224

Mailing address

1001 Ashely Glen LN
Belmont, NC 28012-6524
Phone (704) 825-0541

Other identifiers 2

IdentifierTypeStateIssuer
6005433MedicaidNC
6102508MedicaidNC

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Way Counseling Associates Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790842409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ASHELY GLEN LN",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280126524",
            "telephone_number": "704-825-0541",
            "fax_number": "704-825-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 W WILKINSON BLVD STE E",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280126224",
            "telephone_number": "704-825-0541",
            "fax_number": "704-825-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MELISSA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M. ED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005433",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102508",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.