Individual provider Active NPI

Melissa Joy Langley, LPC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1902266349
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011385 Issued in MI
Practice address
1514 Wealthy St SE
Suite 236
Grand Rapids, MI 49506-2762
Phone
(616) 328-3756
Fax
(616) 940-9166
NPI assigned
Feb 27, 2016
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011385 MI
Mental Health Counselor 101YM0800X 6401011385 MI
Marriage & Family Therapist 106H00000X 6401011385 MI
Professional Counselor 101YP2500X 6401011385 MI Primary

Addresses

Primary practice location

1514 Wealthy St SE
Suite 236
Grand Rapids, MI 49506-2762

Mailing address

1514 Wealthy St SE
Suite 236
Grand Rapids, MI 49506-2762
Phone (616) 328-3756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240719001580 MI Practitioner - Mental Health Counselor 9335685999 Practice locations: Grand Rapids, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1514 Wealthy St SE
Suite 236
Grand Rapids, MI 49506-2755
Phone (616) 328-3756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Third Coast Counseling & Consultation, LLC Mental Health CurrentSince Feb 24, 2022 Accepting new patients

Locations

1514 Wealthy St SE
Ste 236
Grand Rapids, MI 49506
Phone (616) 328-3756

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": "1456531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1902266349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE",
            "address_2": "SUITE 236",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062762",
            "telephone_number": "616-328-3756",
            "fax_number": "616-940-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE",
            "address_2": "SUITE 236",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062762",
            "telephone_number": "616-328-3756",
            "fax_number": "616-940-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "MELISSA",
        "middle_name": "JOY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-27",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011385",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011385",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6401011385",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.