Individual provider Active NPI

Melissa A Wolf, LPCC

  • Mental Health Counselor
  • Edgewood, NM
National Provider Identifier
1275772600
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH167881 Issued in NM
Practice address
28 Windmill Rd
Edgewood, NM 87015-6918
Phone
(505) 288-7025
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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 CCMH167881 NM Primary

Addresses

Primary practice location

28 Windmill Rd
Edgewood, NM 87015-6918

Mailing address

28 Windmill Rd
Edgewood, NM 87015-6918
Phone (505) 288-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240307002752 NM Practitioner - Mental Health Counselor 2769828151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87102
Phone (323) 205-7088

28 Windmill Rd
Edgewood, NM 87015-6918
Phone (208) 263-8230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCMH167881NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Mind Center, LLC Mental Health CurrentSince Feb 26, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

500 Marquette Ave NW
Albuquerque, NM 87102
Phone (505) 429-5750

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1275772600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WINDMILL RD",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870156918",
            "telephone_number": "505-288-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WINDMILL RD",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870156918",
            "telephone_number": "505-288-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH167881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, NM

Sources for this page

Verify at the official NPI Registry.