Individual provider Active NPI

Melea J Peloquin

  • Clinical Social Worker
  • Morehead, KY
National Provider Identifier
1366911323
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258912 Issued in KY
Practice address
555 W Sun St
Morehead, KY 40351-1563
Phone
(606) 783-6805
Fax
(606) 783-6869
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Clinical Social Worker 1041C0700X 258912 KY Primary

Addresses

Primary practice location

555 W Sun St
Morehead, KY 40351-1563

Mailing address

555 W Sun St
Morehead, KY 40351-1563
Phone (606) 783-6805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250630003936 KY Practitioner - Clinical Social Worker 1850804154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Counseling Center LLCGroup PAC ID 7618221300, 57 clinicians
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 3328
Louisville, KY 40217-1415
Phone (855) 591-0092

555 W Sun St
Morehead, KY 40351-1563
Phone (606) 783-6805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince May 12, 2025 Accepting new patients
St. Claire Medical Center Clinical CurrentSince May 12, 2025 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Dec 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 7, 2025 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1366911323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W SUN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511563",
            "telephone_number": "606-783-6805",
            "fax_number": "606-783-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W SUN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511563",
            "telephone_number": "606-783-6805",
            "fax_number": "606-783-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOQUIN",
        "first_name": "MELEA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.