MELCOLM MENTAL HEALTH SERVICES, PLLC
NPI 1396509865
Counselor - Mental Health in Middleburg, FL
About Melcolm Mental Health Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELCOLM MENTAL HEALTH SERVICES, PLLC (NPI 1396509865) is a healthcare organization registered as a mental health in Middleburg, Florida and active in the NPI registry since February 2024. The organization lists Tabatha Melcolm, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melcolm Mental Health Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Melcolm Mental Health Services, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Melcolm Mental Health Services, PLLC's NPI number?
The NPI number for Melcolm Mental Health Services, PLLC is 1396509865. It was assigned to this organization in the NPPES registry on February 6, 2024.
Where is Melcolm Mental Health Services, PLLC located?
Melcolm Mental Health Services, PLLC is located at 4110 Osceola Trl, Middleburg, FL 32068. The listed phone number is (904) 502-9883.
What is Melcolm Mental Health Services, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Melcolm Mental Health Services, PLLC enrolled in Medicare?
Yes. Melcolm Mental Health Services, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Melcolm Mental Health Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Melcolm Mental Health Services, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Melcolm Mental Health Services, PLLC was last updated on February 6, 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.
# Melcolm Mental Health Services, Pllc · NPI 1396509865
Mental Health organization in Middleburg, Florida. Organization record, active in the CMS NPPES registry since February 6, 2024.
## Identity
- **NPI:** 1396509865 (Entity type: Organization)
- **Enumerated:** February 6, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Tabatha Melcolm, OWNER
## Practice location
- **Address:** 4110 OSCEOLA TRL, Middleburg, FL 32068-7149
- **Phone:** (904) 502-9883
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396509865) · Data from the CMS NPPES public registry.