Active NPI
Melissa L McVicker, PHD, LMFT
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1972865210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202265
- Practice address
- 21015 Market RDG Ste 101
San Antonio, TX 78258-4979 - Phone
- (210) 570-4886
- NPI assigned
- Jun 12, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202265 | TX | Primary |
Addresses
Primary practice location
21015 Market RDG Ste 101
San Antonio, TX 78258-4979
Mailing address
21015 Market RDG
San Antonio, TX 78258-4978
Phone (210) 570-4886
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202265 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa McVicker PHD LMFT PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Northrup Therapy | Past | Accepting new patients | |
| Lindsay Durham Ma LMFT PLLC | Past | Accepting new patients |
Locations
21015 Market Rdg
Ste 101
San Antonio, TX 78258
Phone (210) 496-0100
21015 Market Rdg
San Antonio, TX 78258
Phone (210) 496-0100
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- San Antonio, TX
- NPI 1689268161
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Antonio, TX
- NPI 1962029504
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1700334604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1972865210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21015 MARKET RDG",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584978",
"telephone_number": "210-570-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21015 MARKET RDG STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584979",
"telephone_number": "210-570-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVICKER",
"first_name": "MELISSA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.