Individual provider Active NPI

Melissa Hamilton, MS, LPC, LCAS

  • Mental Health Counselor
  • Wilson, NC
National Provider Identifier
1972916260
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11348 Issued in NC
Practice address
3709 Nash St NW
Wilson, NC 27896-1127
Phone
(252) 206-5799
Fax
(252) 206-5778
NPI assigned
Jun 4, 2014
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-20677 NC
Mental Health Counselor 101YM0800X 11348 NC Primary
Professional Counselor 101YP2500X 11348 NC

Addresses

Primary practice location

3709 Nash St NW
Wilson, NC 27896-1127

Mailing address

9226 Woodstream Dr
Bailey, NC 27807-9268
Phone (252) 230-1452

Other identifiers 2

IdentifierTypeStateIssuer
11348OtherNCLICENSED PROFESSIONAL COUNSELOR
20677OtherNCNC SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD

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
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS-20677NCMDAddiction (Substance Use Disorder) Counselor
11348NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Professional Services Treatment Center Current Accepting new patients
Wilson Professional Services Treatment Center Current Accepting new patients
BHG Lxxxi, LLC Past Accepting new patients

Locations

3709 Nash St NW
Wilson, NC 27896
Phone (252) 206-5799

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1972916260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 WOODSTREAM DR",
            "city": "BAILEY",
            "state": "NC",
            "postal_code": "278079268",
            "telephone_number": "252-230-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 NASH ST NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961127",
            "telephone_number": "252-206-5799",
            "fax_number": "252-206-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MELISSA",
        "credential": "MS, LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20677",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11348",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "11348",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD",
            "identifier": "20677",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.