Active NPIIndividual provider

Mrs. Melissa D South, LPC, NCC, ACS

Counselor, Mental Health in South Orange, New Jersey

NPI Number1477195998
Practice location
76 S Orange Ave Ste 209, South Orange, NJ 07079-1923
Fax
973-378-9575
Last updated
October 16, 2019

Melissa D South is a Counselor, Mental Health based in South Orange, NJ. Melissa D South practices in South Orange, NJ and has the professional credentials of LPC, NCC, ACS. The NPI Number for Melissa D South is 1477195998 and holds a License No. 37PC00450800 (NJ). The current practice location address for Melissa D South is 76 S Orange Ave Ste 209, South Orange, NJ 07079-1923 and can be reached out via phone at 201-740-7128 and via fax at 973-378-9575.

Provider Profile Details

NPI Number
1477195998
Provider Name
Melissa D South
Credential
LPC, NCC, ACS
Provider Entity Type
Individual
Gender
Female
Address
76 S Orange Ave Ste 209, South Orange, NJ 07079-1923
Phone Number
201-740-7128
Fax Number
973-378-9575
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2019
Last Update Date
October 16, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 S Orange Ave Ste 209
South Orange, NJ 07079-1923
Zip
07079-1923
Phone Number
201-740-7128
Fax Number
973-378-9575
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
78 Montclair Ave
Cedar Grove, NJ 07009-1025
City
Cedar Grove
State
NJ
Zip
07009-1025
Phone Number
201-407-8870

License Information

License Number
37PC00450800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melissa D South, LPC, NCC, ACS?

The NPI number of Mrs. Melissa D South, LPC, NCC, ACS is 1477195998. It was assigned on October 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa D South, LPC, NCC, ACS?

Mrs. Melissa D South, LPC, NCC, ACS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00450800.

Where does Mrs. Melissa D South, LPC, NCC, ACS practice?

The practice location is 76 S Orange Ave Ste 209, South Orange, NJ 07079-1923. The office can be reached at 201-740-7128 (phone) or 973-378-9575 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477195998 directly on the NPPES registry website.

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