MELANIE GAYLE VIDRICKSEN
NPI 1184824120
Counselor - Mental Health in Muskogee, OK

Active since July 18, 2007
619 N MAIN ST, MUSKOGEE, OK 74401(918) 682-2491 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Melanie Gayle Vidricksen NPPES

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

MELANIE GAYLE VIDRICKSEN (NPI 1184824120) is an individual mental health provider in Muskogee, Oklahoma and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1184824120
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELANIE GAYLE VIDRICKSEN
Location Address619 N MAIN STMuskogee, OK 74401-4431
Mailing Address619 N Main StMuskogee, OK 74401-4431
Sole ProprietorYes
Enumeration DateJuly 18, 2007
✔ NPI 1184824120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
619 N MAIN ST, Muskogee, OK 74401

Other Providers at the Same Location NPPES 20

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

Peer Specialist
619 N MAIN ST
MUSKOGEE, OK 74401
Counselor (Mental Health)
619 N MAIN ST
MUSKOGEE, OK 74401
Registered Nurse (Psychiatric/Mental Health)
619 N MAIN ST
MUSKOGEE, OK 74401
Registered Nurse
619 N MAIN ST
MUSKOGEE, OK 74401
Licensed Practical Nurse
619 N MAIN ST
MUSKOGEE, OK 74401
Counselor (Mental Health)
619 N MAIN ST
MUSKOGEE, OK 74401
Counselor (Mental Health)
619 N MAIN ST
MUSKOGEE, OK 74401
Case Manager/Care Coordinator
619 N MAIN ST
MUSKOGEE, OK 74401

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 Melanie Vidricksen's NPI number?

The NPI number for Melanie Vidricksen is 1184824120. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Melanie Vidricksen located?

Melanie Vidricksen practices at 619 N Main St, Muskogee, OK 74401. The listed phone number is (918) 682-2491.

What is Melanie Vidricksen's specialty?

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

When was this NPI record last updated?

The NPPES record for Melanie Vidricksen was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.