Melissa Autumn Raines, LCMHCA

Individual provider Active NPI Professional Counselor · Black Mountain, NC

NPI 1821818162 · NPPES record last updated Oct 11, 2024

Key facts

NPI
1821818162
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
A20664 (NC)
Practice address
201 N Ridgeway Ave
Black Mountain, NC 28711-3506
Phone
(828) 669-9798
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A20664NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Black Mountain Counseling Center Current
since Oct 13, 2024
Accepting new patients

Locations

201 N Ridgeway Ave
Black Mountain, NC 28711
Phone (828) 669-9798

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A20664 NC Yes

Addresses

Primary practice location

201 N Ridgeway Ave
Black Mountain, NC 28711-3506

Mailing address

201 N Ridgeway Ave
Black Mountain, NC 28711-3506
Phone (828) 669-9798

Other providers in Black Mountain, NC

All providers in Black Mountain, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.