Active NPI
Shekila Melchior
- Professional Counselor
- Alexandria, VA
National Provider Identifier
1962098145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2850 Eisenhower Ave Ste 105
Alexandria, VA 22314-4567 - Phone
- (844) 947-3326
- NPI assigned
- Dec 11, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | VA | ||
| Community/Behavioral Health Agency | 251S00000X | 0704013634 | VA | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2850 Eisenhower Ave Ste 105
Alexandria, VA 22314-4567
Mailing address
2850 Eisenhower Ave Ste 105
Alexandria, VA 22314-4567
Phone (844) 947-3326
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 |
|---|---|---|---|
| 0704013634 | VA | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Legacy LLC | Current | Accepting new patients | |
| Wise Mind Solutions, LLC | Current | Accepting new patients |
Locations
2850 Eisenhower Ave
Ste 105
Alexandria, VA 22314
Phone (571) 319-3577
12587 Fair Lakes Cir
Fairfax, VA 22033
Phone (571) 605-6922
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Fairfax, VA
- NPI 1013606326
-
- Adolescent and Children Mental Health Clinic/Center
- Alexandria, VA
- NPI 1326651936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1962098145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 EISENHOWER AVE STE 105",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144567",
"telephone_number": "844-947-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 EISENHOWER AVE STE 105",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144567",
"telephone_number": "844-947-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHIOR",
"first_name": "SHEKILA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "0704013634",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.