Individual provider Active NPI

Melanie Kay Lumbrezer, M.S., L.P.C.C.-SUPV

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1205036068
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.0800057 Issued in OH
Practice address
222 McTigue Dr
Toledo, OH 43615-5164
Phone
(419) 442-7702
Fax
(419) 225-8878
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E.0800057-SUPV OH
Mental Health Counselor 101YM0800X C.0800057 OH Primary

Addresses

Primary practice location

222 McTigue Dr
Toledo, OH 43615-5164

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hpwohio.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241115002331 OH Practitioner - Mental Health Counselor 0143754911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C.0800057OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Aug 31, 2024 Accepting new patients
Health Partners of Western Ohio CurrentSince Aug 31, 2024 Accepting new patients
Health Partners of Western Ohio Multi-Specialty Current Accepting new patients

Locations

1018 Ralston Ave
Defiance, OH 43512
Phone (419) 567-2138

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

222 McTigue Dr
Toledo, OH 43615
Phone (419) 442-7702

Organizations & group practices 3

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1205036068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072",
            "fax_number": "419-225-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MCTIGUE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436155164",
            "telephone_number": "419-442-7702",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBREZER",
        "first_name": "MELANIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C.C.-SUPV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0800057-SUPV",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0800057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hpwohio.org",
            "affiliation": "N",
            "address_1": "222 McTigue Dr",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436155164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.