Individual provider Active NPI

Melena Ornelas Ayres, LCSW

  • Clinical Social Worker
  • Denton, TX
National Provider Identifier
1811538820
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63095 Issued in TX
Practice address
1405 N Elm St
Denton, TX 76201-3089
Phone
(940) 260-0011
Fax
(940) 301-3830
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 63095 TX Primary

Addresses

Primary practice location

1405 N Elm St
Denton, TX 76201-3089

Mailing address

4319 Fieldwood Dr
Corinth, TX 76208-5242

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

State licenses

LicenseStateTypeSpecialty
63095TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Counseling of Denton PLLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

1421 N Elm St
Ste 103
Denton, TX 76201
Phone (940) 260-0011

1405 N Elm St
Denton, TX 76201
Phone (940) 260-0011

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1811538820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 FIELDWOOD DR",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013089",
            "telephone_number": "940-260-0011",
            "fax_number": "940-301-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "MELENA",
        "middle_name": "ORNELAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.