Individual provider Active NPI

Melissa E Coan, LPCC

  • Professional Counselor
  • Brunswick, OH
National Provider Identifier
1376821348
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2203023 Issued in OH
Practice address
1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256
Phone
(330) 220-9679
NPI assigned
Jul 25, 2011
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0501110 OH
Counselor 101Y00000X C0501110 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 021164 OH
Professional Counselor 101YP2500X E.2203023 OH Primary

Addresses

Primary practice location

1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256

Mailing address

1839 Pearl Rd Ste 101
Brunswick, OH 44212-3256
Phone (440) 379-0942

Other practice location 1

23360 Chagrin Blvd Ste 102
Beachwood, OH 44122-5537
Phone (440) 679-2087

Other identifiers 1

IdentifierTypeStateIssuer
0202421MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hello@infinitycounseling.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240507002401 OH Practitioner - Mental Health Counselor 2365883477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity Counseling LLCGroup PAC ID 0648575480, 4 clinicians

Practice addresses (Care Compare)

1839 Pearl Rd
Suite 101
Brunswick, OH 44212-3256
Phone (330) 220-9679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0501110OHMDCounselor
C0501110OHMDCounselor
021164OHMDAddiction (Substance Use Disorder) Counselor
E.2203023OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Mar 23, 2024 Accepting new patients
Cleveland Family Therapy LLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1839 Pearl Rd
Ste 101
Brunswick, OH 44212
Phone (212) 273-8555

30575 Euclid Ave
Willoughby Hills, OH 44092
Phone (440) 516-3776

Interoperability endpoints

  • Direct secure messaging: hello@infinitycounseling.org

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1376821348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 PEARL RD STE 101",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123256",
            "telephone_number": "440-379-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 PEARL RD STE 101",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123256",
            "telephone_number": "330-220-9679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23360 Chagrin Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225537",
            "country_code": "US",
            "telephone_number": "440-679-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAN",
        "first_name": "MELISSA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "0501110",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0501110",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "021164",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2203023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202421",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hello@infinitycounseling.org",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1839 Pearl Rd Ste 101",
            "city": "Brunswick",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442123256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.