MS. MELISSA ANNE MCCREARY (NPI# 1558651067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558651067 |
| Entity Type | Individual |
| Full Name | MS. MELISSA ANNE MCCREARY |
| Credential | L.P.C.I. |
| Practice Address |
151 S.state St. University Ave., Ste 1400 Provo UT 84606 |
| Mailing Address |
1132 Canyon Meadow Dr Apt 1 Provo UT 84606-3638 |
| Practice Telephone | 8018517192 |
| Mailing Telephone | 8014717207 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
151 S.STATE ST. UNIVERSITY AVE., STE 1400 |
| City | PROVO |
| State | UT |
| Zip Code | 84606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1386940799 | Mindy Smith-day | Case Manager/Care Coordinator | 1726 Buckley Lane, Provo, UT 84606 | 2011-02-02 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751587 | Clara Sobral Hinckley | Counselor | 975 S 250 W Apt A, Provo, UT 84601-5991 | 2020-05-09 |
| 1295207231 | Trauma Center of Utah, LLC | Counselor | 4980 N University Ave Apt 12, Provo, UT 84604-6444 | 2018-12-31 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1891036497 | Theta Management Corporation | Counselor | 524 W 300 N, Suite 102, Provo, UT 84601-2667 | 2013-03-06 |
| 1295037521 | Gordon Scott Bruin | Counselor | 151 S University Ave Ste 3200, Provo, UT 84601-4427 | 2010-11-18 |
| 1326349192 | Alice J. Stryker | Counselor | 151 S Univ Ave, Provo, UT 84601-4427 | 2010-11-10 |
| 1184255275 | Joey Payne | Counselor | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-28 |
| 1386288462 | Ascent Family Therapy, Inc | Counselor | 4665 Mile High Dr, Provo, UT 84604-6311 | 2019-11-01 |
| 1679034516 | Stacey Perko | Counselor | 3507 N University Ave Ste 350, Provo, UT 84604-6602 | 2019-03-25 |
| 1225593577 | Iris Anabela Prescott | Counselor | 1726 Buckley Ln, Provo, UT 84606-5031 | 2019-01-31 |
| Find all providers in PROVO | ||||
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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.