Melissa Jean Ivey, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC2033 Issued in ME

Practice address

40 Market Square
Houlton, ME 04730-1742

Phone

(207) 941-8727

Fax

(207) 992-2784

NPI assigned

May 15, 2007

Last updated

Nov 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melissa Jean Mitro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allies, Inc.

  • Case Management Agency
  • Bangor, ME
  • NPI 1902941396
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1255547139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST.",
            "address_2": "SUITE 301",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016359",
            "telephone_number": "207-941-8727",
            "fax_number": "207-992-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MARKET SQUARE",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301742",
            "telephone_number": "207-941-8727",
            "fax_number": "207-992-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC2033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275820099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MITRO",
            "middle_name": "JEAN",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theodore Hunt, MHRT-CSP
• Chester M. Husted, M.D.
• Owen Osarenkhoe Igbinosa, MD
• Brownson Okechukwu Irondi, FNP-BC, PMHNP-BC
• Julie A. Ivey, MHRT-C
• Lori Lynne Jewell, LMSW
• Kelly Johnson, MHRT-CSP
• Peter B Johnson, DMD
• Robert Stephen Johnson, D.M.D.
• Karl Philip Jurson, LADC

• Mental Health Counselor in Houlton, ME
• Providers in Houlton, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.