Active NPI
Melissa B Smith
- Mental Health Counselor
- Beaufort, NC
National Provider Identifier
1942983085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16153
- Practice address
- 129 Madison Bay Dr
Beaufort, NC 28516-7707 - Phone
- (252) 259-0573
- NPI assigned
- Aug 7, 2023
- Last updated
- Aug 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16153 | NC | Primary |
Addresses
Primary practice location
129 Madison Bay Dr
Beaufort, NC 28516-7707
Mailing address
129 Madison Bay Dr
Beaufort, NC 28516-7707
Phone (252) 259-0573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
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": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1942983085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 MADISON BAY DR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285167707",
"telephone_number": "252-259-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 MADISON BAY DR",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285167707",
"telephone_number": "252-259-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELISSA",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "16153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, NC
- April M Risinger, P.A.
- Penny Ann Rule, L.AC
- Seaside Family Practice of Beaufort, Inc. (Seaside Family Practice)
- Kelli Selfe, PHARMD
- William David Short, DMD
- Sound Nutrition Consulting, LLC
- Sound Pharmacy Services Inc
- Susan Hannula Stroup, ATC
- Linda Patterson Swain, DDS
- Hannah Elizabeth Swindell, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.