Melissa Mayberry Dewlen, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CCMH0198061 Issued in NM

Practice address

6612 Gulton CT NE Ste a
Albuquerque, NM 87109

Phone

(505) 888-1686

Fax

(505) 888-1683

NPI assigned

Oct 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa Karen Mayberry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1952705428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8644 MOCK HEATHER RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204250",
            "telephone_number": "972-989-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 GULTON CT NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-888-1686",
            "fax_number": "505-888-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Bishop Rd SW",
            "address_2": "SUITE 105",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985127303",
            "country_code": "US",
            "telephone_number": "360-357-2370",
            "fax_number": "360-357-2374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWLEN",
        "first_name": "MELISSA",
        "middle_name": "MAYBERRY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0198061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MAYBERRY",
            "middle_name": "KAREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Sue Deweese, OT
• Frances J. Dewent
• Julie Dewerd, PT OCS
• Kayla Harlie Dewese, MA
• Laurie Dewhurst, LPCC
• George Patrick Dexter, CTRS
• James Gerard Dexter, PT
• Katijane Crowe Dexter, CNP
• Lena Deyapp
• Ronald Deyhle, MD

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.