Active NPI
Melisa Denham, L.P.C.
- Professional Counselor
- Arlington Heights, IL
National Provider Identifier
1396110698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178003017
- Practice address
- 1002 N Haddow Ave
Arlington Heights, IL 60004-5656 - Phone
- (312) 804-8630
- NPI assigned
- Dec 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178003017 | IL | Primary |
Addresses
Primary practice location
1002 N Haddow Ave
Arlington Heights, IL 60004-5656
Mailing address
1021 N Mulford Rd
Attn: Credentialing
Rockford, IL 61107-3877
Phone (815) 387-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178003017 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1396110698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N MULFORD RD",
"address_2": "ATTN: CREDENTIALING",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073877",
"telephone_number": "815-387-5600",
"fax_number": "815-316-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N HADDOW AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600045656",
"telephone_number": "312-804-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENHAM",
"first_name": "MELISA",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178003017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.