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MELVIN H BARNES JR. LCSW
NPI 1881031516
Social Worker - Clinical in Orlando, FL

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
1400 N SEMORAN BLVD, SUITE E, ORLANDO, FL 32807(407) 823-8421(407) 823-8195 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melvin H Barnes Jr. Lcsw NPPES

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

MELVIN H BARNES JR. LCSW (NPI 1881031516) is an individual clinical provider in Orlando, Florida, licensed in Florida (SW7453) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1881031516
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMELVIN H BARNES JR.Credential: LCSW
Location Address1400 N SEMORAN BLVD, SUITE EOrlando, FL 32807-3536
Mailing Address1400 N Semoran Blvd, Suite EOrlando, FL 32807-3536 · (407) 823-8421 · Fax (407) 823-8195
Phone(407) 823-8421
Fax(407) 823-8195
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 4, 2013
✔ NPI 1881031516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW7453
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1400 N SEMORAN BLVD, Orlando, FL 32807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melvin H Barnes Jr. Lcsw 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 ID6709176316
PECOS Enrollment IDI20160609000484
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Melvin Barnes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beth Davalos Counseling Center LLC
7.6 mi
Clinical
540 E HORATIO AVE STE 200
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
NPI 1932760451 (407) 907-2825
Mcr Health, Inc.
94 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Talkspace Provider Network PA
943 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Florida, Kentucky, New Mexico and Oregon enrollments
  • 63 clinicians in this Medicare group
NPI 1639814049 (212) 284-7206

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
212 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

MS. JOSELYN ABREU MSW, LCSW, LCADC
Social Worker (Clinical)
1400 N SEMORAN BLVD, E
ORLANDO, FL 32807
Orange County (407) 823-8421
GERARD ADAM KRUSE LMSW
Social Worker (Clinical)
1400 N SEMORAN BLVD, SUITE E
ORLANDO, FL 32807
Orange County (917) 301-0727
MR. JOHN FREDY GIRALDO
Behavior Analyst
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Orange County (407) 285-6691
DR. GERARDO DE JESUS
Counselor (Pastoral)
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Orange County (407) 405-7677
LAURIE ANN HATCHER LCSW
Social Worker (Clinical)
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Orange County (407) 823-8421
MILDRED MARIA CRUZ MA
Counselor
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Orange County (407) 823-8421
BRANDON ROTHENBERG MA
Counselor (Mental Health)
1400 N SEMORAN BLVD
ORLANDO, FL 32807
Orange County (407) 823-8421
INTERNAL MEDICINE & NEPHROLOGY, P.A.
Clinic/Center (Medical Specialty)
1400 N SEMORAN BLVD, SUITE F
ORLANDO, FL 32807
Orange County (407) 282-2441

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 Melvin Barnes's NPI number?

The NPI number for Melvin Barnes is 1881031516. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Melvin Barnes located?

Melvin Barnes practices at 1400 N Semoran Blvd Suite E, Orlando, FL 32807. The listed phone number is (407) 823-8421.

What is Melvin Barnes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melvin Barnes enrolled in Medicare?

Yes. Melvin Barnes 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.

Which organizations bill Medicare for Melvin Barnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melvin Barnes reassigns Medicare benefits to 3 organizations: Beth Davalos Counseling Center LLC (Maitland, FL), Mcr Health, Inc. (Parrish, FL) and Talkspace Provider Network PA (New York, NY). Each 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 Melvin Barnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melvin Barnes accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Melvin Barnes 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 Melvin Barnes was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.