Individual provider Active NPI

Melissa Karner, LCPC

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1336795095
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.012446 Issued in IL
Practice address
900 Pyott Rd Ste 102
Crystal Lake, IL 60014-8717
Phone
(815) 444-9076
NPI assigned
Aug 17, 2019
Last updated
Aug 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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 180.012446 IL Primary

Addresses

Primary practice location

900 Pyott Rd Ste 102
Crystal Lake, IL 60014-8717

Mailing address

900 Pyott Rd Ste 102
Crystal Lake, IL 60014-8717
Phone (815) 444-9076

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
180.012446ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Mesmer & Associates, LLC Mental Health CurrentSince Sep 17, 2023 Accepting new patients
The Art of Living Counseling Center, Inc. PastSince Aug 25, 2019 Accepting new patients

Locations

900 Pyott Rd
Ste 102
Crystal Lake, IL 60014
Phone (815) 444-9076

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": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1336795095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PYOTT RD STE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148717",
            "telephone_number": "815-444-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PYOTT RD STE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148717",
            "telephone_number": "815-444-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNER",
        "first_name": "MELISSA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.