Melissa Carlberg, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5210125 Issued in WI

Practice address

2612 73Rd St
Kenosha, WI 53143-5240

Phone

(262) 592-8854

Fax

(262) 208-1765

NPI assigned

Feb 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 6, 2025 through Nov 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aalto Enhancement Center, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1629155973
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1063836187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 73RD ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435240",
            "telephone_number": "262-592-8854",
            "fax_number": "262-208-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 73RD ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435240",
            "telephone_number": "262-592-8854",
            "fax_number": "262-208-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5606 6th Ave # Ll9",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531404102",
            "country_code": "US",
            "telephone_number": "262-592-8854",
            "fax_number": "262-208-1765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLBERG",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5210125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Erickson Capa, LPN
• Paul V Capelli, MD
• Susan Capozzi, RDH
• Samantha Caputo
• Caring Hearts Home Care
• Candi Carmody
• Tracy Carpenter, LMY
• Lora L. Carpentier, APNP
• Carroll M. Martin, M.D.,S.C.
• Arianah Carroll

• Professional Counselor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.