1104892827 NPI number — MELISSA REGISTER MEYERS M.ED., LPC

Table of content: MELISSA REGISTER MEYERS M.ED., LPC (NPI 1104892827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104892827 NPI number — MELISSA REGISTER MEYERS M.ED., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEYERS
Provider First Name:
MELISSA
Provider Middle Name:
REGISTER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.ED., LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104892827
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4744 US 421 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LILLINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27546-6727
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-916-6404
Provider Business Mailing Address Fax Number:
919-557-8223

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 E ACADEMY ST STE 303
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FUQUAY VARINA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27526-2248
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-916-6404
Provider Business Practice Location Address Fax Number:
910-390-6039
Provider Enumeration Date:
02/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  4661 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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