Melissa Pauline Clevenger, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013755 Issued in MI

Practice address

2460 Lakeshore Dr
Saint Joseph, MI 49085-1874

Phone

(269) 982-3832

NPI assigned

Jul 17, 2013

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

Other names 1

• Miss Melissa Pauline Clevenger Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Family Empowerment Services LLCGroup PAC ID 4183058753, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Family Empowerment Services LLC

  • Clinical Child & Adolescent Psychologist
  • Saint Joseph, MI
  • NPI 1104360734
  Medicare reassignment Care Compare group NPD
• Family Therapy & Development Centers Inc

  • Mental Health Counselor
  • Saint Joseph, MI
  • NPI 1295916187
  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1386086445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LAKESHORE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851874",
            "telephone_number": "269-982-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LAKESHORE DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851874",
            "telephone_number": "269-982-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "MELISSA",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CLEVENGER",
            "middle_name": "PAULINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Patrick Clancy III, M.D.
• Lindsey Napier Clark
• Michael W Clark, DO
• Terri Clark, PT
• Eric Clayton, LMT
• Cliffside Company L L C
• Emily Anne Cobb, MD
• Paula Marie Coghlan, M.D.
• Sabina Paula Coica, D.O.
• Sarah Grace Cole

• Professional Counselor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.