MELISSA LEE BLACK (NPI# 1023652500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023652500 |
| Entity Type | Individual |
| Full Name | MELISSA LEE BLACK |
| Other Name | MELISSA LEE DAUGHERTY |
| Credential | LPC |
| Practice Address |
860 Lynn St Lebanon MO 65536-3810 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2018045610 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073631149 | Melissa Olson Black | Specialist/Technologist | 3250 River Road West, Goochland, VA 23063 | 2007-03-27 |
| 1457301921 | Melissa L Black | Optometrist | 1435 E Venice Ave, Suite 110, Venice, FL 34292-3074 | 2006-05-12 |
| 1013538834 | Melissa Margo Black | Registered Nurse | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-05-04 |
| 1144853706 | Melissa Black | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-02-21 |
| 1225686132 | Melissa M Black | Social Worker | 9150 Sw 87th Ave Ste B100, Miami, FL 33176-2311 | 2019-09-04 |
| 1083195903 | Melissa Black | Developmental Therapist | 9000 S County Road 800 W, Daleville, IN 47334-9420 | 2018-08-28 |
| 1821507757 | Melissa Black | Social Worker | 2212 Hope Mills Rd, Fayetteville, NC 28304-4228 | 2017-09-22 |
| 1982140141 | Melissa Black | Pharmacist | 2046 Ne Waldo Rd, Suite 3100, Gainesville, FL 32609-8975 | 2017-01-12 |
| 1043505993 | Melissa Black | Physical Therapist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2011-06-17 |
| 1215190111 | Melissa Dawn Black | Physical Therapist | 112 North 7th Street, Chambersburg Hospital - Physical Medicine Department, Chambersburg, PA 17201 | 2008-07-10 |
| Street Address |
860 LYNN ST |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448470 | Catherine A Grigg | Psychologist | 860 Lynn St, Lebanon, MO 65536-3810 | 2005-12-22 |
| 1801496856 | Lauren Dailey Smalling | Social Worker | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-10-29 |
| 1023657152 | Kristin M. Million | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-01-07 |
| 1497390959 | Cynthia Denise Parker | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-11-08 |
| 1235780099 | Jeanna Suzanne Hood | Registered Nurse | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-09-24 |
| 1487136156 | Elizabeth Leuthold | Psychologist | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-30 |
| 1245710045 | Derrick Leighton Carroll | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-21 |
| 1720566805 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-01 |
| 1790272011 | Mary Kathryn Goslin | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-04-23 |
| 1447747837 | Katie Powell | Social Worker | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1780204966 | Amanda Lynn Nowlin | Counselor | 4065 Hunters Point Pike, Lebanon, TN 37087-1192 | 2020-04-17 |
| 1255971065 | Mari Carter | Counselor | 217 E High St, Lebanon, TN 37087-6702 | 2020-01-09 |
| 1275182081 | Jane F Ilgenfritz | Counselor | 746 Cumberland St, Lebanon, PA 17042-5236 | 2019-09-05 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1861876104 | Claudia Jett | Counselor | 511 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2015-07-16 |
| 1912305160 | Brian Bowden | Counselor | 5 Blacksmith St, Lebanon, NH 03766-1507 | 2014-12-19 |
| 1932511912 | Lauren F Ordner | Counselor | 1220 State Route 31 N, Suite 17, Lebanon, NJ 08833-3237 | 2014-05-27 |
| 1831439223 | Access Intensive Counseling LLC | Counselor | 705 East Main Street, Lebanon, VA 24266 | 2013-02-21 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.