Active NPI
Melissa Graves
- Mental Health Counselor
- Spencer, IA
National Provider Identifier
1992084230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PLMHC001422
- Practice address
- 920 S Grand Ave
Spencer, IA 51301-5749 - Phone
- (712) 262-4157
- Fax
- (712) 262-4202
- NPI assigned
- Aug 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PLMHC001422 | IA | Primary |
Addresses
Primary practice location
920 S Grand Ave
Spencer, IA 51301-5749
Mailing address
1800 19TH St
PO Box 70
Rock Valley, IA 51247-1037
Phone (712) 476-3281
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 |
|---|---|---|---|
| PLMHC001422 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1992084230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 19TH ST",
"address_2": "PO BOX 70",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "512471037",
"telephone_number": "712-476-3281",
"fax_number": "712-476-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S GRAND AVE",
"city": "SPENCER",
"state": "IA",
"postal_code": "513015749",
"telephone_number": "712-262-4157",
"fax_number": "712-262-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "PLMHC001422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.