Melissa Ellison LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MELISSA ELLISON LLC

Practice address

18049 Oak St Ste B
Omaha, NE 68130-6093

Phone

(402) 680-2699

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Melissa Ellison, LIMHP

Title

Owner and Provider

Phone

(402) 680-2699

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1154975761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18049 OAK ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306093",
            "telephone_number": "402-680-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18049 OAK ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306093",
            "telephone_number": "402-680-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ELLISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "402-680-2699",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12769518",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bali Melessike Abena, MS
• Heidi Melgar Miranda
• Angelo D Melgoza, PLADC
• Christina Ann Melia
• Kelli B Melia, OTR/L
• Melissa S Goertz LLC (Beautiful Minds Therapy)
• Rachel Mellen
• Megan J Mellion
• Kyle Mellor, MD
• Melo Hopeful Care LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.