Individual provider Active NPI

Melissa NMN Timlin, LPC

  • Professional Counselor
  • Jacksonville, FL
National Provider Identifier
1134915002
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025019340 Issued in MO
Practice address
7877 Charlotte Oaks LN
Jacksonville, FL 32277-9715
Phone
(904) 525-0603
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025019340 MO Primary

Addresses

Primary practice location

7877 Charlotte Oaks LN
Jacksonville, FL 32277-9715

Mailing address

7877 Charlotte Oaks LN
Jacksonville, FL 32277-9715
Phone (904) 525-0603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250609002723 MI Practitioner - Mental Health Counselor 1850801820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Detroit, MI 48243
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025019340MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Jun 2, 2025 Accepting new patients

Locations

400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1134915002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7877 CHARLOTTE OAKS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322779715",
            "telephone_number": "904-525-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 CHARLOTTE OAKS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322779715",
            "telephone_number": "904-525-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMLIN",
        "first_name": "MELISSA",
        "middle_name": "NMN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025019340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.