Individual provider Active NPI

Melisa Ford, LPC

  • Professional Counselor
  • Troy, AL
National Provider Identifier
1942852447
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4118 Issued in AL
Practice address
153 Scouting Cir
Troy, AL 36081-2540
Phone
(334) 808-8991
NPI assigned
Jul 15, 2019
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 4118 AL Primary

Addresses

Primary practice location

153 Scouting Cir
Troy, AL 36081-2540

Mailing address

1011 Dellwood Ave
Dothan, AL 36303-3739
Phone (706) 405-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240311003391 AL Practitioner - Mental Health Counselor 3678919925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4118ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Wellness Center, LLC CurrentSince Jan 17, 2022 Accepting new patients
Warren Behavioral Care, Inc CurrentSince Sep 26, 2025 Accepting new patients
Resilience Counseling and Resources, LLC Professional CurrentSince Jan 2, 2024 Accepting new patients

Locations

248 N Foster St
Ste 7
Dothan, AL 36303
Phone (334) 405-0807

153 Scouting Cir
Troy, AL 36081
Phone (334) 808-8991

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, 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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1942852447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 DELLWOOD AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033739",
            "telephone_number": "706-405-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "334-808-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MELISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.