Individual provider Active NPI

Melody Deanne Becker Pullman, LMHC

  • Mental Health Counselor
  • Orange City, IA
National Provider Identifier
1891853750
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
083831 Issued in IA
Practice address
400 Central Ave NW Ste 300
Orange City, IA 51041-1332
Phone
(712) 737-2635
Fax
(712) 737-2344
NPI assigned
Dec 4, 2006
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH2204 SD
Mental Health Counselor 101YM0800X 083831 IA Primary
Professional Counselor 101YP2500X LPC994 SD

Addresses

Primary practice location

400 Central Ave NW Ste 300
Orange City, IA 51041-1332

Mailing address

400 Central Ave NW Ste 300
Orange City, IA 51041-1332
Phone (712) 737-2635

Other identifiers 1

IdentifierTypeStateIssuer
083831OtherIASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231226001140 IA Practitioner - Mental Health Counselor 5294185708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Christian Counseling Midwest IncGroup PAC ID 6608869078, 9 clinicians

Practice addresses (Care Compare)

400 Central Ave NW
Suite 300
Orange City, IA 51041-1332
Phone (712) 737-2635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-MH2204SDMDMental Health Counselor
LPC994SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Christian Counseling Midwest, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

400 Central Ave NW
Ste 300
Orange City, IA 51041
Phone (712) 737-2635

400 S Sycamore Ave
Ste 105-3
Sioux Falls, SD 57110
Phone (605) 334-3739

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1891853750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW STE 300",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411332",
            "telephone_number": "712-737-2635",
            "fax_number": "712-737-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW STE 300",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411332",
            "telephone_number": "712-737-2635",
            "fax_number": "712-737-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER PULLMAN",
        "first_name": "MELODY",
        "middle_name": "DEANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2204",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "083831",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "083831",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.