Individual provider Active NPI

Melissa Tatar-Pickersgill, M.S., LPC, NCC, BSP

  • Mental Health Counselor
  • Morrisville, PA
National Provider Identifier
1114706470
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC015535 Issued in PA
Practice address
25 E Bridge St
Morrisville, PA 19067-7129
Phone
(267) 797-5029
NPI assigned
Sep 26, 2023
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC015535 PA Primary
Prevention Professional 405300000X PC015535 PA

Addresses

Primary practice location

25 E Bridge St
Morrisville, PA 19067-7129

Mailing address

115 Liberty St
Newtown, PA 18940-2024
Phone (267) 577-1155

Other practice location 1

115 Liberty St
Newtown, PA 18940-2024
Phone (267) 577-1155

Other names 1

  • Msmissyms Tatar-Pickersgill Other name

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
I20240409000657 PA Practitioner - Mental Health Counselor 4981047693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC015535PAMDMental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1114706470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LIBERTY ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402024",
            "telephone_number": "267-577-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E BRIDGE ST",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190677129",
            "telephone_number": "267-797-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189402024",
            "country_code": "US",
            "telephone_number": "267-577-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATAR-PICKERSGILL",
        "first_name": "MELISSA",
        "credential": "M.S., LPC, NCC, BSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015535",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "PA",
            "license": "PC015535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MSMISSYMS",
            "last_name": "TATAR-PICKERSGILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morrisville, PA

Sources for this page

Verify at the official NPI Registry.