Individual provider Active NPI

Melynda Ramona Cabrera, MS, NCC, LPC

  • Professional Counselor
  • Southbury, CT
National Provider Identifier
1811329246
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2403 Issued in CT
Practice address
77 Main St N
Southbury, CT 06488-2200
Phone
(203) 518-5380
NPI assigned
Aug 8, 2013
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 2403 CT Primary

Addresses

Primary practice location

77 Main St N
Southbury, CT 06488-2200

Mailing address

500 Peter Rd
Southbury, CT 06488-2631
Phone (203) 592-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329000373 CT Practitioner - Mental Health Counselor 7719330729 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2403CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMW Wellness PLLC CurrentSince Jan 30, 2024 Accepting new patients
The Modern Woman Health & Wellness Center PLLC CurrentSince Jan 30, 2024 Accepting new patients
Chasing Hope Counseling LLC Professional CurrentSince Oct 28, 2024 Accepting new patients
Mindscapes Counseling PLLC Past Accepting new patients
Hop Brook Counseling Center, LLC Professional PastSince Mar 12, 2023 Accepting new patients

Locations

504 Wolcott Rd
Ste C
Wolcott, CT 06716
Phone (203) 504-9507

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1811329246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PETER RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882631",
            "telephone_number": "203-592-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN ST N",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882200",
            "telephone_number": "203-518-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "MELYNDA",
        "middle_name": "RAMONA",
        "name_prefix": "Ms.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.