DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) – Professional Counselor, NPI 1316509037

DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) is a healthcare provider. based in Adel, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PSY.D., LPC. They hold a License No. 73000 (TX). The NPI Number for DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) is 1316509037

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA MILLER MCKINNEY (PSY.D., LPC)
NPI
1316509037
Phone
(312) 399-2393
Address
1185 Lonnie Grimsley Rd
Enumeration Date
2 July 2019
Last Update Date
15 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3232057088
Graduation Year
2013 (13 years ago)
PAC ID
3274075742
Group Practice PAC ID
8921466228
Professional Enrollment ID
I20240612001192
Address ID
GA303261156AT3424XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,201 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for DR. MELISSA MILLER MCKINNEY (PSY.D., LPC)

  • 1185 Lonnie Grimsley Rd

    Adel, GA 316204227

    Phone: (312) 399-2393

    Type: Location

  • 2006, Nine Road, Brady, McCulloch County, Texas, 76825, United States

    BRADY, TX 768257210

    Phone:

    Type: Mailing

  • 1005 SHIRLEY AVE

    DOUGLAS, GA 315332123

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240612001192IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31620)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921466228View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Mental Health CounselorMD
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerVA
Mental Health CounselorWV
Clinical Social WorkerVA
Clinical Social WorkerMD
Mental Health CounselorVA
Clinical Social WorkerSC

Reviews

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Frequently asked questions

Is there an official ID for DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) in U.S. healthcare records?
The official identifier for DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) is NPI 1316509037.
Is DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) still an active registrant?
DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) carries an active NPI according to the public dataset.
What kind of doctor is DR. MELISSA MILLER MCKINNEY (PSY.D., LPC)?
DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) registered?
Use Adel, Georgia as the headline location for DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) here.
When was this NPI issued?
Enumeration for DR. MELISSA MILLER MCKINNEY (PSY.D., LPC) is noted as July 2, 2019 where the registry provides it.

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