Active NPI
Melissa Marie Henbest, LCPC
- Mental Health Counselor
- Coeur D Alene, ID
National Provider Identifier
1124591771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SE-203170
- Practice address
- 296 W. Sunset Ave
Ste 15
Coeur D Alene, ID 83815-8366 - Phone
- (208) 666-0357
- Fax
- (208) 666-0468
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SE-203170 | ID | Primary |
Addresses
Primary practice location
296 W. Sunset Ave
Ste 15
Coeur D Alene, ID 83815-8366
Mailing address
296 W. Sunset Ave
Ste 15
Coeur D Alene, ID 83815-8366
Phone (208) 666-0357
Other names 1
- Mrs. Melissa M Young
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240325001900 | ID | Practitioner - Mental Health Counselor | 6901243047 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
509 W Hanley Ave
Suite 101
Coeur D Alene, ID 83815-8994
Phone (208) 666-0357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SE-203170 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olivine Wellness LLC | Current | Accepting new patients |
Locations
509 W Hanley Ave
Ste 101
Coeur D Alene, ID 83815
Phone (208) 666-0357
296 W Sunset Ave
Ste 15
Coeur D Alene, ID 83815
Phone (208) 666-0357
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": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1124591771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 W. SUNSET AVE",
"address_2": "STE 15",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158366",
"telephone_number": "208-666-0357",
"fax_number": "208-666-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 W. SUNSET AVE",
"address_2": "STE 15",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158366",
"telephone_number": "208-666-0357",
"fax_number": "208-666-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENBEST",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "SE-203170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "YOUNG",
"middle_name": "M",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.