Nathan Paul Melanson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC02262 Issued in MN

Practice address

620 Civic Heights Dr Ste 103
Circle Pines, MN 55014-4709

Phone

(763) 248-0352

NPI assigned

Sep 1, 2023

Last updated

Sep 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1225814684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CIVIC HEIGHTS DR STE 103",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550144709",
            "telephone_number": "763-248-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CIVIC HEIGHTS DR STE 103",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550144709",
            "telephone_number": "763-248-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANSON",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5269-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luminate Therapy Collective
• Greta M Lund
• Daniel Simeon Lutz, DC
• Le'Handra Lynch
• Lori Ann Marthaler-Miller
• Midway Family Support (Midway)
• Karen Anne Miller, OTR
• Mint Dental Lino Lakes PLLC
• Scott J. Murray
• Ari Natarina

• Professional Counselor in Circle Pines, MN
• Providers in Circle Pines, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.