MR. CHARLES ALVIN III MELICK (LCSW - 37691) – Counselor, NPI 1215344726

MR. CHARLES ALVIN III MELICK (LCSW - 37691) is a healthcare provider. based in Idaho falls, Idaho. specializing in Counselor. They hold the professional credentials LCSW - 37691. They hold a License No. LCSW-37691 (ID). The NPI Number for MR. CHARLES ALVIN III MELICK (LCSW - 37691) is 1215344726

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES ALVIN III MELICK (LCSW - 37691)
NPI
1215344726
Phone
(801) 669-4600
Address
1885 GALLUP ST
Enumeration Date
16 July 2014
Last Update Date
3 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085247400
Graduation Year
2014 (12 years ago)
PAC ID
1658626528
Group Practice PAC ID
0547585895
Professional Enrollment ID
I20180618000885
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MR. CHARLES ALVIN III MELICK (LCSW - 37691)

  • 1885 GALLUP ST

    IDAHO FALLS, ID 834045606

    Phone: (801) 669-4600

    Type: Mailing

  • 2275 W BROADWAY ST

    STE. G

    IDAHO FALLS, ID 834022902

    Phone: (208) 524-7400

    Fax: (208) 524-8004

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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

Insurance plans in this area (ZIP 83404)

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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: 0547585895View full group profile
NameSpecialtyState
Mental Health CounselorID
Mental Health CounselorID
P S Y C H I A T R YID
Nurse PractitionerID
Clinical Social WorkerID
Mental Health CounselorID
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
-UT

Reviews

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Frequently asked questions

What unique ID ties claims to MR. CHARLES ALVIN III MELICK (LCSW - 37691)?
NPI 1215344726 is assigned to MR. CHARLES ALVIN III MELICK (LCSW - 37691) under the national enumeration system.
Is MR. CHARLES ALVIN III MELICK (LCSW - 37691)'s NPI currently valid?
The extract we use shows MR. CHARLES ALVIN III MELICK (LCSW - 37691) as active.
What kind of provider is MR. CHARLES ALVIN III MELICK (LCSW - 37691)?
The page reflects Counselor for MR. CHARLES ALVIN III MELICK (LCSW - 37691). Clinical services aligned with this taxonomy classification.
Where is MR. CHARLES ALVIN III MELICK (LCSW - 37691)'s primary listing?
We display Idaho Falls, Idaho because that is what the record indicates for MR. CHARLES ALVIN III MELICK (LCSW - 37691).
How can I contact MR. CHARLES ALVIN III MELICK (LCSW - 37691)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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