Active NPI
Melissa Ann Selph, MHC
- Mental Health Counselor
- Middle Village, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 011906
- Practice address
- 6317 Metropolitan Ave # B
Middle Village, NY 11379-1634 - Phone
- (718) 781-6171
- NPI assigned
- Jan 15, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 011906 | NY | Primary |
Addresses
Primary practice location
6317 Metropolitan Ave # B
Middle Village, NY 11379-1634
Mailing address
6712 70TH Ave FL 1
Glendale, NY 11385-6632
Phone (718) 781-6171
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mselphgrowthandtransitions@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
204 Beach 102ND St
Apt 3
Rockaway Park, NY 11694-2835
204 Beach 102ND St Apt
Suite 3
Rockaway Park, NY 11694-2875
27 Randolph Rd
Howell, NJ 07731-8611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011906 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care Psychology of Ny PC | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
170 Lake St
Liberty, NY 12754
Phone (845) 292-4200
330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500
39 Wallace St
Scotia, NY 12302
Phone (518) 346-6458
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": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1821638081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6712 70TH AVE FL 1",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113856632",
"telephone_number": "718-781-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6317 METROPOLITAN AVE # B",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791634",
"telephone_number": "718-781-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELPH",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "MHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "011906",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mselphgrowthandtransitions@gmail.com",
"affiliation": "N",
"endpointDescription": "professional",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "none",
"address_1": "6317B Metropolitan Ave",
"city": "Middle Village",
"state": "NY",
"country_code": "US",
"postal_code": "113791606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.