Melissa Artina Booker, LCMHC, LCASA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11958 Issued in NC

Practice address

839 Majestic CT Ste 6
Gastonia, NC 28054-5152

Phone

(704) 674-7290

Fax

(704) 396-6547

NPI assigned

Nov 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Behavioral Health Solutions

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1932720034

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1972046233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT STE 6",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545152",
            "telephone_number": "704-674-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT STE 6",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545152",
            "telephone_number": "704-674-7290",
            "fax_number": "704-396-6547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1723 Armstrong Park Dr.",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "28054",
            "country_code": "US",
            "telephone_number": "704-854-9828 x204",
            "fax_number": "704-854-9882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 S York St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524052",
            "country_code": "US",
            "telephone_number": "704-674-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "MELISSA",
        "middle_name": "ARTINA",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11958",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Rae Bonner, PA
• Irvin R Bonnin, MD
• Chelsea Jillian Bontkowski, PA-C
• Justin Thomas Booher, PA-C
• Alonzo Galvin Booker, MSW, LCSW-A
• Lisa Smith Veale Boone, PA-C
• Michael Gustav Borchardt, DDS
• Lauren Deloach Borders, RDH
• Anthony P Borzotta, MD
• Melanie Blair Boshell, N/A

• Professional Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.