Individual provider Active NPI

Melissa Ann Bass, LMHC

  • Mental Health Counselor
  • Cedar Rapids, IA
National Provider Identifier
1265199533
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
106839 Issued in IA
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

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103003022 IA Practitioner - Mental Health Counselor 6507216595 Reassigns benefits to 1 organization

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
Grace C Mae Advocate Center, IncGroup PAC ID 2668504549, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Grace C Mae Advocate Center CurrentSince Dec 5, 2021 Accepting new patients
Grace C Mae Advocate Center, Inc CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.