Individual provider Active NPI

Melissa Marie Henbest, LCPC

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1124591771
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SE-203170 Issued in ID
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

Updated by the provider on Feb 22, 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 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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
SE-203170IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olivine Wellness LLC CurrentSince Jan 20, 2024 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

Verify at the official NPI Registry.