Individual provider Active NPI

Melissa S. Slatzer, LPC

  • Professional Counselor
  • Hartville, OH
National Provider Identifier
1013247519
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C 0800169 Issued in OH
Practice address
11473 Geib Ave NE
Hartville, OH 44632-8725
Phone
(330) 268-6467
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0800169-SUPV OH
Professional Counselor 101YP2500X C 0800169 OH Primary

Addresses

Primary practice location

11473 Geib Ave NE
Hartville, OH 44632-8725

Mailing address

11473 Geib Ave NE
Hartville, OH 44632-8725
Phone (330) 268-6467

Other identifiers 1

IdentifierTypeStateIssuer
0290822MedicaidOH

Other names 1

  • Melissa S. Nolan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C 0800169OHMDProfessional Counselor
E.0800169-SUPVOHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1013247519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11473 GEIB AVE NE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446328725",
            "telephone_number": "330-268-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11473 GEIB AVE NE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446328725",
            "telephone_number": "330-268-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATZER",
        "first_name": "MELISSA",
        "middle_name": "S.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0800169-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C 0800169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "NOLAN",
            "middle_name": "S.",
            "credential": "LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.