Organization Active NPI

Melissa Riesling LLC

  • Community/Behavioral Health Agency
  • Monument, CO
National Provider Identifier
1184185068
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MELISSA RIESLING LLC
Practice address
1864 Woodmoor Dr Ste 208
Monument, CO 80132-9085
Phone
(719) 359-2525
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Melissa R Riesling, MA, LPCNPI 1275875676
Title
President
Phone
(719) 359-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1864 Woodmoor Dr Ste 208
Monument, CO 80132-9085

Mailing address

20431 Bald Mountain CT
Monument, CO 80132-9310
Phone (719) 359-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404000636 CO Part B Supplier - Clinic/Group Practice 3577901966 Receives reassigned benefits from 1 practitioner
Practice locations: Monument, CO

National Provider Directory

National Provider Directory

Locations

1864 Woodmoor Dr
Ste 208
Monument, CO 80132
Phone (719) 286-0118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1184185068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20431 BALD MOUNTAIN CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329310",
            "telephone_number": "719-359-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 WOODMOOR DR STE 208",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329085",
            "telephone_number": "719-359-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA RIESLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "RIESLING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-359-2525",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.