Caroline Mellon, BS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CSLG13230 Issued in AZ

Practice address

17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724

Phone

(602) 989-8899

NPI assigned

Feb 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caroline.mellon@489656322949124.direct.elationemr.com

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.

• Healing Hartze, PLLC

  • Counselor
  • Glendale, AZ
  • NPI 1043982747
  NPD
• Healing Hartze, PLLC

  • Counselor
  • Phoenix, AZ
  • NPI 1801623228
  NPD

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1376348995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-989-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-989-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23460 N 19th Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272170",
            "country_code": "US",
            "telephone_number": "602-989-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLON",
        "first_name": "CAROLINE",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "CSLG13230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANUARY HARTZE INDIVIDUAL NPI",
            "identifier": "1740851542",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERPOINTE NPI",
            "identifier": "1801623228",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARROWHEAD NPI",
            "identifier": "1043982747",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203827",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180298",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Karina Melchor
• Sabrina Melendez, RN
• Jason Joseph Meleth, M.D.
• Robin Heather Melillo, OT
• Melissa Gioia Austin, M.D., PLC
• Kissina Melo
• Kelsey Leigh Melton, OT
• Colleen Heather Melvin, BA, SLPA
• Jenny Marie Mendez, M.S., CFY-SLP
• Shanelle Mendez

• Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.