Individual provider Active NPI

Melissa R Riesling, MA, LPC

  • Professional Counselor
  • Monument, CO
National Provider Identifier
1275875676
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4889 Issued in CO
Practice address
1864 Woodmoor Dr
Suite 216
Monument, CO 80132-9095
Phone
(719) 359-2525
NPI assigned
Mar 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4889 CO Primary

Addresses

Primary practice location

1864 Woodmoor Dr
Suite 216
Monument, CO 80132-9095

Mailing address

20431 Bald Mountain CT
Monument, CO 80132-9310
Phone (719) 359-2525

Other identifiers 1

IdentifierTypeStateIssuer
4889OtherCOPROFESSIONAL COUNSELOR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240404000730 CO Practitioner - Mental Health Counselor 4486092871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1864 Woodmoor Dr
Suite 208
Monument, CO 80132-9085
Phone (719) 359-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Riesling LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1864 Woodmoor Dr
Ste 208
Monument, CO 80132
Phone (719) 286-0118

Organizations & group practices 1

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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1275875676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20431 BALD MOUNTAIN CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329310",
            "telephone_number": "719-359-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 WOODMOOR DR",
            "address_2": "SUITE 216",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329095",
            "telephone_number": "719-359-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESLING",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "4889",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

Verify at the official NPI Registry.