Individual provider Active NPI

Melissa Ann Gandy, MA, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1861586570
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF42463 Issued in CA
Practice address
855 Canyon Rd
Redding, CA 96001-5544
Phone
(530) 223-2822
Fax
(530) 223-1917
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X MFC45414 CA
Marriage & Family Therapist 106H00000X MFC45414 CA
Marriage & Family Therapist 106H00000X IMF42463 CA Primary

Addresses

Primary practice location

855 Canyon Rd
Redding, CA 96001-5544

Mailing address

855 Canyon Rd
Redding, CA 96001-5544
Phone (530) 223-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231227003389 CA Practitioner - Marriage and Family Therapist 2365892775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796

980 Placer St
Redding, CA 96001-1126
Phone (530) 246-5930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC45414CAMDMental Health Counselor
IMF42463CAMDMarriage & Family Therapist
45414CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince Jan 1, 2024 Accepting new patients
Shasta Community Health Center CurrentSince Jan 1, 2024 Accepting new patients
Shasta Community Health Center Current Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

Interoperability endpoints

  • Direct secure messaging: melissa.gandylmft.p1@direct.schc.nextgenshare.com

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1861586570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CANYON RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015544",
            "telephone_number": "530-223-2822",
            "fax_number": "530-223-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CANYON RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015544",
            "telephone_number": "530-223-2822",
            "fax_number": "530-223-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC45414",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45414",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF42463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.