Individual provider Active NPI

Melissa Michelle Williams, PLPC

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1881951069
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012011623 Issued in MO
Practice address
1804 Heriford Rd
Columbia, MO 65202-1942
Phone
(573) 639-1094
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 2012011623 MO Primary

Addresses

Primary practice location

1804 Heriford Rd
Columbia, MO 65202-1942

Mailing address

1804 Heriford Rd
Columbia, MO 65202-1942
Phone (573) 639-1094

Other practice location 1

401 N Keene St
Columbia, MO 65201-6625
Phone (573) 639-1094

Other identifiers 1

IdentifierTypeStateIssuer
500010512MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL melissa@thehhouse.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241230000906 MO Practitioner - Mental Health Counselor 1557781663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012011623MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa M Williams Licensed Counselor Professional CurrentSince Dec 9, 2024 Accepting new patients
Melissa M Williams Licensed Counselor, LLC Professional CurrentSince Dec 5, 2021 Accepting new patients
Counseling Associates CurrentSince Mar 1, 2020 Accepting new patients

Locations

401 N Keene St
Columbia, MO 65201
Phone (573) 874-3300

3005A Chinaberry Dr
Columbia, MO 65201
Phone (573) 874-8818

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1881951069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HERIFORD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021942",
            "telephone_number": "573-639-1094",
            "fax_number": "573-639-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HERIFORD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021942",
            "telephone_number": "573-639-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Keene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016625",
            "country_code": "US",
            "telephone_number": "573-639-1094",
            "fax_number": "573-639-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELISSA",
        "middle_name": "MICHELLE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012011623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500010512",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melissa@thehhouse.org",
            "affiliation": "N",
            "address_1": "1804 Heriford Rd",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652021942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.