Individual provider Active NPI

Melinda Anthony Spolski, MS, NCC, LPC

  • Mental Health Counselor
  • Pottsville, PA
National Provider Identifier
1033940259
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC002065 Issued in PA
Practice address
115 S Centre St Ste 101
Pottsville, PA 17901-3076
Phone
(570) 622-1025
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 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 PC002065 PA Primary

Addresses

Primary practice location

115 S Centre St Ste 101
Pottsville, PA 17901-3076

Mailing address

115 S Centre St Ste 101
Pottsville, PA 17901-3076
Phone (570) 622-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240820000305 PA Practitioner - Mental Health Counselor 4789122987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates of Schuylkill County, LLCGroup PAC ID 0547362923, 7 clinicians

Practice addresses (Care Compare)

115 S Centre St
Lowr Level
Pottsville, PA 17901-3000
Phone (570) 622-1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC002065PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Schuylkill County, LLC CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1033940259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S CENTRE ST STE 101",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013076",
            "telephone_number": "570-622-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CENTRE ST STE 101",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013076",
            "telephone_number": "570-622-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOLSKI",
        "first_name": "MELINDA",
        "middle_name": "ANTHONY",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC002065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.