Active NPI
Edward Melville, M.A.
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1831551761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH 13019
- Practice address
- 1817 Crescent Blvd Ste 102
Orlando, FL 32817-4619 - Phone
- (321) 331-0389
- NPI assigned
- Mar 21, 2016
- Sex
- Male
- 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 | IMH 13019 | FL | Primary |
Addresses
Primary practice location
1817 Crescent Blvd Ste 102
Orlando, FL 32817-4619
Mailing address
1817 Crescent Blvd Ste 102
Orlando, FL 32817-4619
Phone (321) 331-0389
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 13019 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1831551761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 CRESCENT BLVD STE 102",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328174619",
"telephone_number": "321-331-0389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 CRESCENT BLVD STE 102",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328174619",
"telephone_number": "321-331-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVILLE",
"first_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-21",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH 13019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.