Active NPI
Melinda Clinton
- Clinical Social Worker
- Jonesboro, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7224
- Practice address
- 525 Alexander St
Jonesboro, LA 71251-2001 - Phone
- (318) 459-6795
- NPI assigned
- Oct 30, 2017
- Last updated
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | 7224 | OK | |
| Clinical Social Worker | 1041C0700X | 7224 | OK | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
525 Alexander St
Jonesboro, LA 71251-2001
Mailing address
1000 Chinaberry Dr Ste 903
Bossier City, LA 71111-2455
Phone (318) 459-6795
Other practice location 1
297 Fox Run Cir
Jenks, OK 74037-9510
Phone (918) 946-5823
Other practice location 2
3015 E Skelly Dr Ste 103
Tulsa, OK 74105-6344
Phone (918) 712-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200323940 | Medicaid | OK |
Other names 1
- Melinda A Clinton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7224 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Mental Health, LLC | Counselor | Current | Accepting new patients |
| Miss-Lou Addiction Clinic | Case Manager/Care Coordinator | Current | Accepting new patients |
| Shortgrass Community Health Center, Inc | Current | Accepting new patients | |
| Alliance Mental Health, LLC | Mental Health | Current | Accepting new patients |
| Finding Perspective, LLC | Clinical | Current | Accepting new patients |
| Shortgrass Community Health Center, Inc | Current | Accepting new patients |
Locations
1000 Chinaberry Dr
Ste 903
Bossier City, LA 71111
Phone (318) 455-3915
525 Alexander St
Jonesboro, LA 71251
Phone (318) 259-4676
101 S Hudson St
Altus, OK 73521
Phone (580) 301-6154
1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716
400 E Sycamore St
Hollis, OK 73550
Phone (580) 688-2800
8988 S Sheridan Rd
Ste D2
Tulsa, OK 74133
Phone (970) 834-8610
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Jonesboro, LA
- NPI 1508468687
-
dba YCO Alliance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Claremore, OK
- NPI 1053602649
Counselor
-
- Federally Qualified Health Center (FQHC)
- Altus, OK
- NPI 1982263752
-
- Case Manager/Care Coordinator
- Jonesboro, LA
- NPI 1205354974
-
- Mental Health Counselor
- Saddle River, NJ
- NPI 1285520726
-
- Federally Qualified Health Center (FQHC)
- Hollis, OK
- NPI 1255695201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1962914002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CHINABERRY DR STE 903",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112455",
"telephone_number": "318-459-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ALEXANDER ST",
"city": "JONESBORO",
"state": "LA",
"postal_code": "712512001",
"telephone_number": "318-459-6795"
}
],
"practiceLocations": [
{
"address_1": "297 Fox Run Cir",
"address_purpose": "LOCATION",
"city": "Jenks",
"state": "OK",
"postal_code": "740379510",
"country_code": "US",
"telephone_number": "918-946-5823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3015 E Skelly Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741056344",
"country_code": "US",
"telephone_number": "918-712-0859",
"fax_number": "918-388-9708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLINTON",
"first_name": "MELINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "7224",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "7224",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200323940",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "CLINTON",
"middle_name": "A",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jonesboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.