Active NPI
Melanie K Reddick, LPC & LMFT
- Mental Health Counselor
- Texas City, TX
National Provider Identifier
1942594700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12066
- Practice address
- 1501 N Amburn Rd
Sute 13
Texas City, TX 77591-2484 - Phone
- (409) 938-4814
- Fax
- (409) 938-4849
- NPI assigned
- Jun 8, 2011
- Last updated
- Jun 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12066 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 4605 | TX |
Addresses
Primary practice location
1501 N Amburn Rd
Sute 13
Texas City, TX 77591-2484
Mailing address
2200 Market St
Suite 600
Galveston, TX 77550-1530
Phone (409) 938-4814
Other names 1
- Melanie K Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12066 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Center of Galveston County, Texas | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Galveston, TX
- NPI 1902871833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1942594700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 MARKET ST",
"address_2": "SUITE 600",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775501530",
"telephone_number": "409-938-4814",
"fax_number": "409-938-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N AMBURN RD",
"address_2": "SUTE 13",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912484",
"telephone_number": "409-938-4814",
"fax_number": "409-938-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDICK",
"first_name": "MELANIE",
"middle_name": "K",
"credential": "LPC & LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12066",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "STEWART",
"middle_name": "K",
"credential": "LPC &LMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.