MRS. MELISSA JANE JEFFRIES (NPI# 1356700710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356700710 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA JANE JEFFRIES |
| Credential | LPCC |
| Practice Address |
402 Cumberland Ave Williamsburg KY 40769 |
| Mailing Address |
Po Box 1299 Williamsburg KY 40769-3299 |
| Practice Telephone | 6065492656 |
| Practice Fax Number | 6065492855 |
| Mailing Telephone | 6065492656 |
| Mailing Fax Number | 4235492855 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
242650 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | STATE LICENSE | 164470 | 01 |
| KY | 7100566260 | 05 | |
| TN | STATE LICENSE | LPC4786 | 01 |
| TN | Q047626 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Sunset Trl, Jellico, TN 377622343 | 4237845771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073761946 | Melissa Jeffries | Physician Assistant | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2008-09-04 |
| Street Address |
402 CUMBERLAND AVE |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 40769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273467 | James Wendall Killian | Family Medicine | 402 Cumberland Ave, Williamsburg, KY 40769-1238 | 2005-05-24 |
| 1639617939 | Megan Hill | Registered Nurse | 402 Cumberland Ave, Williamsburg, KY 40769-1238 | 2017-02-07 |
| 1952772394 | Lindsey Nicole Patrick | Nurse Practitioner | 402 Cumberland Ave, Williamsburg, KY 40769-1238 | 2015-10-12 |
| 1487023248 | Clayton Thomas | Physician Assistant | 402 Cumberland Ave, Williamsburg, KY 40769-1238 | 2015-09-22 |
| 1346622594 | Laura Reed | Physician Assistant | 402 Cumberland Ave, Williamsburg, KY 40769-1238 | 2015-06-24 |
| 1811379266 | Tiffany Lu | Family Medicine | 402 Cumberland Ave, Williamsburg, KY 40769 | 2015-06-22 |
| 1871631804 | Dayspring Health Inc | Family Medicine | 402 Cumberland Ave, Williamsburg, KY 40769 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353142 | Glenn Paul Clavet | Counselor | 4044 Penzance Pl, Williamsburg, VA 23188-6641 | 2020-07-08 |
| 1942831300 | Stephanie Jo Ellison | Counselor | 5000 New Point Rd, Williamsburg, VA 23188-9411 | 2020-02-03 |
| 1215580675 | Sarah Patricia Cloud | Counselor | 76 Wilson Rd, Williamsburg, KY 40769-9308 | 2019-07-24 |
| 1023572674 | Blair Elder Farrar | Counselor | 372 Mclaws Cir Ste 2, Williamsburg, VA 23185-5636 | 2019-01-29 |
| 1851855688 | Rachel Cunningham | Counselor | 1657 Merrimac Trl Bldg 1, Williamsburg, VA 23185-5624 | 2019-01-25 |
| 1720554090 | Sarah Elizabeth Clayton | Counselor | 5388 Discovery Park Blvd Ste 120b, Williamsburg, VA 23188-8218 | 2018-10-15 |
| 1669919833 | Ian Demodna | Counselor | 1001 Richmond Rd, Williamsburg, VA 23185-2895 | 2017-01-26 |
| 1275081598 | Joelle Janice Griffin Russell | Counselor | 1651 Merrimac Trl, Williamsburg, VA 23185-5624 | 2016-09-15 |
| 1326407610 | Karen Lynn Mapp Hall | Counselor | 907 Richmond Rd, Williamsburg, VA 23185-2821 | 2016-02-16 |
| 1992192702 | Donna Haygood Jackson | Counselor | 209 Yorkshire Dr, Williamsburg, VA 23185-3912 | 2015-04-20 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
Please comment or provide details below to improve the information on MRS. MELISSA JANE JEFFRIES.
| 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.