Individual provider Active NPI

Jeanene Lynn Melquist, LPCC-S

  • Professional Counselor
  • Toledo, OH
National Provider Identifier
1285118364
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2203030 Issued in OH
Practice address
2770 Centennial Rd
Toledo, OH 43617-1829
Phone
(419) 794-0567
NPI assigned
Sep 24, 2018
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 E.2203030 OH Primary

Addresses

Primary practice location

2770 Centennial Rd
Toledo, OH 43617-1829

Mailing address

451 Buttonwood Ave
Bowling Green, OH 43402-3716
Phone (419) 494-3785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240917001936 OH Practitioner - Mental Health Counselor 5395286421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Behavioral Health Services LLCGroup PAC ID 2264502541, 16 clinicians

Practice addresses (Care Compare)

2770 Centennial Rd
Toledo, OH 43617-1829
Phone 4197940567122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2203030OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Blue Counseling, LLC Professional Current Accepting new patients
Comprehensive Behavioral Health Services LLC Professional CurrentSince Jun 27, 2024 Accepting new patients

Locations

1351 S Reynolds Rd
Ste B
Toledo, OH 43615
Phone (419) 410-1830

2770 Centennial Rd
Toledo, OH 43617
Phone (419) 794-0567

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1285118364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 BUTTONWOOD AVE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023716",
            "telephone_number": "419-494-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CENTENNIAL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171829",
            "telephone_number": "419-794-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELQUIST",
        "first_name": "JEANENE",
        "middle_name": "LYNN",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2203030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.