Melisa Marcelle Carrico, LCPC
Individual provider Active NPI Professional Counselor · Oakland, MD
NPI 1801912282 · NPPES record last updated Dec 16, 2010
Key facts
- NPI
- 1801912282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC1331 (MD)
- Practice address
- 315 Dawson Ave Ste C
Oakland, MD 21550-5113 - Phone
- (240) 321-2487
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1331 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyeia Holistic Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC1331 | MD | Yes |
Addresses
Primary practice location
315 Dawson Ave Ste C
Oakland, MD 21550-5113
Mailing address
1138 Eagle Rock Rd
Oakland, MD 21550-6825
Phone (240) 321-2487
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012466400 | Medicaid | MD |
Other names
- Melisa M Miner
Other providers in Oakland, MD
- Cardinal Health Pharmacy Services, LLC
- Care 1St Wellness, LLC
- Care4All Wellness Group LLC
- Carepoint Response, Inc.
- Jessica Marie Carey
- Ed Cassada
- Marianella Castro
- Carl M Cathell
- Amanwi Ambe Che
- Maya Cho
All providers in Oakland, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.