Individual provider Active NPI

Rachel Lynn Mellentine, LLPC

  • Mental Health Counselor
  • Saginaw, MI
National Provider Identifier
1063104396
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451022971 Issued in MI
Practice address
3550 Shattuck Rd Ste C
Saginaw, MI 48603-3153
Phone
(989) 903-9172
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 6451022971 MI Primary

Addresses

Primary practice location

3550 Shattuck Rd Ste C
Saginaw, MI 48603-3153

Mailing address

15312 W Burt Rd
Chesaning, MI 48616-9536
Phone (989) 903-9172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15312 W Burt Rd
Chesaning, MI 48616-9536

3550 Shattuck Rd
Suite C
Saginaw, MI 48603-3153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451022971MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Future & Hope Counseling Services LLC Past 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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1063104396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 W BURT RD",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486169536",
            "telephone_number": "989-903-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 SHATTUCK RD STE C",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033153",
            "telephone_number": "989-903-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLENTINE",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.