Melissa Anne Buchholz, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180010627 Issued in IL

Practice address

28W671 Garys Mill Rd
Winfield, IL 60190-1564

Phone

(630) 293-9860

Fax

(630) 293-9861

NPI assigned

Apr 6, 2021

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pathways Psychology Services P.C.

  • Clinical Psychologist
  • Winfield, IL
  • NPI 1942485198
  Medicare reassignment NPD

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1356920417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W671 GARYS MILL RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901564",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28W671 GARYS MILL RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901564",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 75th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605048015",
            "country_code": "US",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brown-McBroom, M.A.
• Patricia Lynn Brown, APN, FNP-BC
• Rebecca Brown, MPT
• Bettine Brusca, L.C.S.W.
• Bartosz Antoni Buchcic, M.D.
• Susan Marie Buck, MS, APN, CPNP
• Karmen Busse, APRN, CNP
• Cadence Health
• Anne M. Callanan
• Patricia L Calvin, NURSE PRACTITIONER

• Professional Counselor in Winfield, IL
• Providers in Winfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.