Individual provider Active NPI

Melissa S Dansby, PROFESSIONAL COUNSEL

  • Professional Counselor
  • Glendale, WI
National Provider Identifier
1376881581
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5121-125 Issued in WI
Practice address
219 W Mount Royal Rd
Glendale, WI 53217-3907
Phone
(414) 235-7173
Fax
(414) 250-7039
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5121-125 WI Primary

Addresses

Primary practice location

219 W Mount Royal Rd
Glendale, WI 53217-3907

Mailing address

4738 N 20TH St
Milwaukee, WI 53209-6345
Phone (414) 235-7173

Other identifiers 1

IdentifierTypeStateIssuer
5121-125OtherWILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240509002530 WI Practitioner - Mental Health Counselor 3678914504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cream City Counseling LLC CurrentSince Apr 1, 2024 Accepting new patients
Sebastian Family Psycholgy Practice Professional Past Accepting new patients
Sebastian Family Psycholgy Practice Past Accepting new patients

Organizations & group practices 3

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": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1376881581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 N 20TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096345",
            "telephone_number": "414-235-7173",
            "fax_number": "414-250-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MOUNT ROYAL RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173907",
            "telephone_number": "414-235-7173",
            "fax_number": "414-250-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSBY",
        "first_name": "MELISSA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PROFESSIONAL COUNSEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5121-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5121-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.