MR. SHANDY CHANCE MELSON M.S., LCPC, LCADC
NPI 1083096051
Counselor - Professional in Las Vegas, NV

Q: What is Shandy Melson's NPI number?

The NPI number for Shandy Melson is 1083096051. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Shandy Melson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shandy Melson was last updated on July 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2015PECOS Enrolled

2780 S JONES BLVD STE 100A, LAS VEGAS, NV 89146(702) 820-3061 Get Directions Write a Review

NPPES record last updated: July 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2018, Jun 18, 2018, Apr 11, 2018 (3 updates tracked since 2018).

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About Mr. Shandy Chance Melson M.s., Lcpc, Lcadc NPPES

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

MR. SHANDY CHANCE MELSON M.S., LCPC, LCADC (NPI 1083096051) is an individual professional provider in Las Vegas, Nevada, licensed in Nevada (CP0214) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1083096051

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. SHANDY CHANCE MELSONCredential: M.S., LCPC, LCADC

Location Address2780 S JONES BLVD STE 100ALas Vegas, NV 89146

Mailing Address2662 Rainbow River DrLas Vegas, NV 89142-3639 · (702) 670-1665

Phone(702) 820-3061

Sole ProprietorNo

Enumeration DateJune 25, 2015

Last NPPES UpdateJuly 7, 20183 updates tracked since enumeration

✔ NPI 1083096051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NV · CP0214

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00479-LC (NV)

2780 S JONES BLVD STE 100A, Las Vegas, NV 89146

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Secondary Practice Location 1

Location 12920 S Jones Blvd, #220Las Vegas, NV 89146-5642 · Phone (702) 968-9372 · Fax (702) 932-3189

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shandy Chance Melson M.s., Lcpc, Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.