Individual provider Active NPI

Melissa Marcano

  • Mental Health Counselor
  • Toledo, OH
National Provider Identifier
1275954265
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21693 Issued in FL
Practice address
500 Madison Ave Ste 200
Toledo, OH 43604-1230
Phone
(567) 312-8700
Fax
(567) 312-8793
NPI assigned
Dec 18, 2013
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21693 FL Primary
Mental Health Counselor 101YM0800X E.2404783 OH

Addresses

Primary practice location

500 Madison Ave Ste 200
Toledo, OH 43604-1230

Mailing address

1024 Mandarin Way
Haines City, FL 33844-6307
Phone (863) 873-3384

Other practice location 1

4100 Spirit Lake Rd Ste 4
Winter Haven, FL 33880-5081
Phone (863) 800-0758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21693FLMDMental Health Counselor
E.2404783OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope in Healing LLC Mental Health Past Accepting new patients
Shine Medical Providers PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1275954265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MANDARIN WAY",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446307",
            "telephone_number": "863-873-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MADISON AVE STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041230",
            "telephone_number": "567-312-8700",
            "fax_number": "567-312-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Spirit Lake Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338805081",
            "country_code": "US",
            "telephone_number": "863-800-0758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCANO",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21693",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.