Individual provider Active NPI

Melissa J Quiroz, LMHC

  • Mental Health Counselor
  • Valparaiso, IN
National Provider Identifier
1003495094
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003492A Issued in IN
Practice address
2401 Valley Dr
Valparaiso, IN 46383-2520
Phone
(219) 413-5100
Fax
(260) 421-5003
NPI assigned
Apr 6, 2021
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003492A IN Primary

Addresses

Primary practice location

2401 Valley Dr
Valparaiso, IN 46383-2520

Mailing address

2401 Valley Dr
Valparaiso, IN 46383-2520
Phone (219) 413-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004550 IN Practitioner - Mental Health Counselor 5395196950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthlinc IncGroup PAC ID 7618929373, 83 clinicians

Practice addresses (Care Compare)

1001 Sturdy Rd
Valparaiso, IN 46383-4126
Phone 21946271732226

1600 Roosevelt Rd
Valparaiso, IN 46383-3738
Phone (219) 462-7173

200 Alfred St
Michigan City, IN 46360-3563
Phone (219) 872-6200

2401 Valley Dr
Valparaiso, IN 46383-2520
Phone (219) 413-5100

420 W 4TH St
Mishawaka, IN 46544-1948
Phone 57430776734693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc. CurrentSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc CurrentSince Jan 1, 2024 Accepting new patients
Healthlinc, Inc CurrentSince Jan 1, 2024 Accepting new patients
Iris Family Support Center Inc PastSince Apr 1, 2021 Accepting new patients
Healthlinc, Inc. PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc. PastSince Jan 1, 1997 Accepting new patients
Healthlinc Pharmacy LLC PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc. PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc. PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc. PastSince Jan 1, 1997 Accepting new patients
Healthlinc, Inc PastSince Jan 1, 1997 Accepting new patients

Locations

1313 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1196

104 E Culver Rd
Ste 106
Knox, IN 46534
Phone (574) 772-7400

400 Teegarden St
Laporte, IN 46350
Phone (219) 326-0043

710 Franklin St
Ste 200
Michigan City, IN 46360
Phone (219) 872-6200

420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300

1708 High St
South Bend, IN 46613
Phone (574) 237-6640

1960 Northside Blvd
South Bend, IN 46615
Phone (574) 231-7228

621 Memorial Dr
Ste 402
South Bend, IN 46601
Phone (574) 232-4800

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419

Networks

  • IL PPO Downstate
  • KY PPO
  • IL HMO C-SNP
  • KY PPO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1003495094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 VALLEY DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832520",
            "telephone_number": "219-413-5100",
            "fax_number": "260-421-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 VALLEY DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832520",
            "telephone_number": "219-413-5100",
            "fax_number": "260-421-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROZ",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003492A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.