Individual provider Active NPI

Melinda Sue Kerr, M.ED, LPC

  • Counselor
  • Lubbock, TX
National Provider Identifier
1891037222
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
62704 Issued in TX
Practice address
8008 Slide Rd Ste 31
Lubbock, TX 79424-2828
Phone
(806) 300-0898
NPI assigned
Mar 24, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 62704 TX Primary
Professional Counselor 101YP2500X 62704 TX

Addresses

Primary practice location

8008 Slide Rd Ste 31
Lubbock, TX 79424-2828

Mailing address

8008 Slide Rd Ste 31
Lubbock, TX 79424-2828
Phone (806) 300-0898

Other practice location 1

5512 84th St
Lubbock, TX 79424-4610
Phone (806) 241-1487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241217002107 TX Practitioner - Mental Health Counselor 1951838895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8008 Slide Rd
Suite 31
Lubbock, TX 79424-2828
Phone (806) 300-0898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62704TXMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Counseling PLLC Professional CurrentSince Oct 13, 2024 Accepting new patients

Locations

8008 Slide Rd
Ste 31
Lubbock, TX 79424
Phone (806) 300-0898

Organizations & group practices 1

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": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891037222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD STE 31",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242828",
            "telephone_number": "806-300-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD STE 31",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242828",
            "telephone_number": "806-300-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5512 84th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794244610",
            "country_code": "US",
            "telephone_number": "806-241-1487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "62704",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.