Individual provider Active NPI

Melissa Dawn Kappes, PCC

  • Mental Health Counselor
  • Mason, OH
National Provider Identifier
1356460349
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0600449 Issued in OH
Practice address
8479 S. Mason Montgomery Road
Suite 4
Mason, OH 45040-4023
Phone
(513) 443-2032
Fax
(513) 725-1141
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C0600449 OH
Mental Health Counselor 101YM0800X E.0600449 OH Primary

Addresses

Primary practice location

8479 S. Mason Montgomery Road
Suite 4
Mason, OH 45040-4023

Mailing address

8479 S. Mason Montgomery Road
Suite 4
Mason, OH 45040-4023
Phone (513) 443-2032

Other identifiers 1

IdentifierTypeStateIssuer
2427056MedicaidOH

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
E.0600449OHMDMental Health Counselor
C0600449OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1356460349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 S. MASON MONTGOMERY ROAD",
            "address_2": "SUITE 4",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404023",
            "telephone_number": "513-443-2032",
            "fax_number": "513-725-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8479 S. MASON MONTGOMERY ROAD",
            "address_2": "SUITE 4",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404023",
            "telephone_number": "513-443-2032",
            "fax_number": "513-725-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPES",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0600449",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0600449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2427056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.