Active NPI
Melissa Janea Nyquist
- Professional Counselor
- Greenwood, MO
National Provider Identifier
1821605643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3292
- Practice address
- 1405 Cypress Dr
Greenwood, MO 64034-8626 - Phone
- (816) 517-8226
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3292 | KS | Primary |
Addresses
Primary practice location
1405 Cypress Dr
Greenwood, MO 64034-8626
Mailing address
1405 Cypress Dr
Greenwood, MO 64034-8626
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3292 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1821605643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 CYPRESS DR",
"city": "GREENWOOD",
"state": "MO",
"postal_code": "640348626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CYPRESS DR",
"city": "GREENWOOD",
"state": "MO",
"postal_code": "640348626",
"telephone_number": "816-517-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYQUIST",
"first_name": "MELISSA",
"middle_name": "JANEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.