Active NPI
Melissa L. Heath, LCSW, LCADC
- Addiction (Substance Use Disorder) Counselor
- Campbellsville, KY
National Provider Identifier
1992740724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 720
- Practice address
- 2778 Elkhorn Rd
Campbellsville, KY 42718-8634 - Phone
- (270) 789-7462
- Fax
- (877) 638-1152
- NPI assigned
- Jun 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3169 | KY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 720 | KY | Primary |
Addresses
Primary practice location
2778 Elkhorn Rd
Campbellsville, KY 42718-8634
Mailing address
2778 Elkhorn Rd
Campbellsville, KY 42718-8634
Phone (270) 789-7462
Other names 1
- Melissa Herron
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | Accepting new patients | |
| Lake Cumberland Regional MHMR Board Outpatient | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1336172642
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1992831713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1992740724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2778 ELKHORN RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427188634",
"telephone_number": "270-789-7462",
"fax_number": "877-638-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2778 ELKHORN RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427188634",
"telephone_number": "270-789-7462",
"fax_number": "877-638-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "MELISSA",
"middle_name": "L.",
"credential": "LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3169",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HERRON",
"credential": "CADC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.