Melissa Wierema, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401016642 Issued in MI

Practice address

321 Hamilton St
Geneva, IL 60134-2148

Phone

(630) 686-2282

NPI assigned

Jun 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Action Consulting and Therapy, PLLC

  • Clinical Social Worker
  • Geneva, IL
  • NPI 1730575184

  Single Specialty

  NPD

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1235756206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 HAWLEY RD",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496908522",
            "telephone_number": "630-388-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342148",
            "telephone_number": "630-686-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEREMA",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Maria White, M.D.
• Whole Human Health
• Audrey Whybrew
• Shelly Marie Wicklund, BCBA
• Susan Evelyn Wickstrom, LCSW
• Jaclyn Beth Wierzbicki, M.D.
• Christine Marie Wietrzykowski, PT
• Margaret E. Wiff, D.D.S
• Abigail Wiggins
• Olivia Wildman

• Counselor in Geneva, IL
• Providers in Geneva, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.