Active NPI
Melissa Sue Sperry, MS, PLMHP
- Mental Health Counselor
- Council Bluffs, IA
National Provider Identifier
1881204691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12289
- Practice address
- Melissa Sperry
4036 Ramelle Dr
Council Bluffs, IA 51501 - Phone
- (712) 355-0392
- NPI assigned
- Aug 6, 2020
- Last updated
- Oct 30, 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 | 12289 | NE | Primary |
Addresses
Primary practice location
Melissa Sperry
4036 Ramelle Dr
Council Bluffs, IA 51501
Mailing address
Melissa Sperry
4036 Ramelle Dr
Council Bluffs, IA 51501
Phone (712) 355-0392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12289 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1881204691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MELISSA SPERRY",
"address_2": "4036 RAMELLE DR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "51501",
"telephone_number": "712-355-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MELISSA SPERRY",
"address_2": "4036 RAMELLE DR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "51501",
"telephone_number": "712-355-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERRY",
"first_name": "MELISSA",
"middle_name": "SUE",
"credential": "MS, PLMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-10-30",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "12289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.