Active NPI
Melissa Ann Bass, LMHC
- Mental Health Counselor
- Cedar Rapids, IA
National Provider Identifier
1265199533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 106839
- Practice address
- 260 33Rd Ave SW Ste J
Cedar Rapids, IA 52404-4646 - Phone
- (319) 361-6529
- NPI assigned
- Nov 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 106839 | IA | Primary |
Addresses
Primary practice location
260 33Rd Ave SW Ste J
Cedar Rapids, IA 52404-4646
Mailing address
404 18TH St NE Apt 3
Cedar Rapids, IA 52402-5245
Phone (319) 327-7136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 33Rd Ave SW
Suite J
Cedar Rapids, IA 52404-4646
Phone (319) 361-6529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace C Mae Advocate Center | Current | Accepting new patients | |
| Grace C Mae Advocate Center, Inc | Current | Accepting new patients |
Locations
260 33rd Ave SW
Ste J
Cedar Rapids, IA 52404
Phone (319) 560-0230
1152 Marengo Ave
Marengo, IA 52301
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1700018405
-
- Counselor
- Cedar Rapids, IA
- NPI 1851725592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1265199533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 18TH ST NE APT 3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025245",
"telephone_number": "319-327-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 33RD AVE SW STE J",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524044646",
"telephone_number": "319-361-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "106839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.