Individual provider Active NPI

Melissa Mae Spaulding, LPC-MHSP

  • Professional Counselor
  • Sparta, TN
National Provider Identifier
1831535509
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone
(931) 372-7117
Fax
(931) 372-7119
NPI assigned
May 21, 2013
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 NU Primary

Addresses

Primary practice location

3380 Walnut Grove Rd
Sparta, TN 38583-5365

Mailing address

3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone (931) 372-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240703003417 TN Practitioner - Mental Health Counselor 1153787940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Possibilities CounselingGroup PAC ID 6800248212, 7 clinicians

Practice addresses (Care Compare)

3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone (931) 372-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Possibilities Counseling Professional CurrentSince Jul 9, 2015 Accepting new patients
Life Reimagined LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

3380 Walnut Grove Rd
Sparta, TN 38583
Phone (931) 345-3968

Organizations & group practices 2

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1831535509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 WALNUT GROVE RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385835365",
            "telephone_number": "931-372-7117",
            "fax_number": "931-372-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 WALNUT GROVE RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385835365",
            "telephone_number": "931-372-7117",
            "fax_number": "931-372-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.