Individual provider Active NPI

Melissa Adolphe, MHC

  • Mental Health Counselor
  • Pearl River, NY
National Provider Identifier
1306323969
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
161 N Middletown Rd
Pearl River, NY 10965-2030
Phone
(845) 675-7596
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240911003862 CT Practitioner - Mental Health Counselor 7315487758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Adolphe Mental Health Counseling Mental Health CurrentSince Jul 17, 2022 Accepting new patients
Step Up Care PC LLC CurrentSince Aug 1, 2024 Accepting new patients
New Fronteras Licensed Clinical Social Work Services, PLLC PastSince Jul 16, 2018 Accepting new patients

Locations

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NY Primary

Addresses

NPPES NPI Registry

Primary practice location

161 N Middletown Rd
Pearl River, NY 10965-2030

Mailing address

27 Union Rd Apt E26
Spring Valley, NY 10977-3923
Phone (845) 608-5279

Other practice location 1

579 Courtlandt Ave
Bronx, NY 10451-5013
Phone (718) 485-2100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2019.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1306323969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 UNION RD APT E26",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773923",
            "telephone_number": "845-608-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N MIDDLETOWN RD",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652030",
            "telephone_number": "845-675-7596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "579 Courtlandt Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515013",
            "country_code": "US",
            "telephone_number": "718-485-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADOLPHE",
        "first_name": "MELISSA",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

Verify at the official NPI Registry.