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MRS. TABATHA MELCOLM LMHC
NPI 1063922276
Counselor - Mental Health in Middleburg, FL

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
4110 OSCEOLA TRL, MIDDLEBURG, FL 32068(904) 502-9883(904) 490-9037 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Dec 7, 2023, Dec 9, 2022 and 1 more (4 updates tracked since 2018).

About Mrs. Tabatha Melcolm Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TABATHA MELCOLM LMHC (NPI 1063922276) is an individual mental health provider in Middleburg, Florida, licensed in Florida (MH16497) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Middleburg, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063922276
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TABATHA MELCOLMCredential: LMHC
Location Address4110 OSCEOLA TRLMiddleburg, FL 32068-7149
Mailing Address4110 Osceola TrlMiddleburg, FL 32068-7149 · (904) 502-9883 · Fax (904) 490-9037
Phone(904) 502-9883
Fax(904) 490-9037
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 3, 2017
Last NPPES UpdateFebruary 5, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1063922276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH16497
4110 OSCEOLA TRL, Middleburg, FL 32068
Open in Google Maps ↗

Secondary Practice Location 1

Location 12497 County Road 220Middleburg, FL 32068-6531 · Phone (904) 502-9883 · Fax (904) 490-9037

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tabatha Melcolm Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214374230
PECOS Enrollment IDI20240326001102
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELCOLM MENTAL HEALTH SERVICES, PLLC
Counselor (Mental Health)
4110 OSCEOLA TRL
MIDDLEBURG, FL 32068
Clay County (904) 502-9883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabatha Melcolm's NPI number?

The NPI number for Tabatha Melcolm is 1063922276. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Tabatha Melcolm located?

Tabatha Melcolm practices at 4110 Osceola Trl, Middleburg, FL 32068. The listed phone number is (904) 502-9883.

What is Tabatha Melcolm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tabatha Melcolm enrolled in Medicare?

Yes. Tabatha Melcolm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tabatha Melcolm accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Tabatha Melcolm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabatha Melcolm was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.