Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mellisa Gail Douglas, MED, LPC

Individual provider Professional Counselor · NPI 1720194681

Mellisa Gail Douglas, MED, LPC is a Mental Health Counselor in Fishersville, Virginia. Qualified in 2004, 22 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Texas and Virginia.

Years since qualifying
22
Licensed in
TX, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

71 Wilson Blvd Ste A1
Fishersville, VA 22939-2283
Phone: (540) 949-4202
Fax: (540) 886-7380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 0701004135 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 17005 (TX)

Record details

NPI number1720194681
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPC
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESDecember 2, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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