Melissa Coleman
Individual provider Active NPI Mental Health Counselor · Blue Island, IL
NPI 1134528854 · NPPES record last updated Aug 19, 2014
Key facts
- NPI
- 1134528854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 13136 Western Ave
Blue Island, IL 60406-2423 - Phone
- (708) 974-5849
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
13136 Western Ave
Blue Island, IL 60406-2423
Mailing address
13136 Western Ave
Blue Island, IL 60406-2423
Other providers in Blue Island, IL
- City of Blue Island
- Catherine Clark
- Julisa Clark
- Colten Dean Coffin
- Arlease Coleman
- Randi Coley
- Jeanine Connolly
- Cook County
- Cook County
- Cook County
All providers in Blue Island, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.