Individual provider Active NPI

Melissa June Cribari, LMHC, CADC

  • Mental Health Counselor
  • Clive, IA
National Provider Identifier
1396864484
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001109 Issued in IA
Practice address
1601 NW 114TH St Ste 151
Clive, IA 50325-7046
Phone
(515) 643-9030
Fax
(515) 643-9031
NPI assigned
Mar 28, 2007
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 06140 IA
Mental Health Counselor 101YM0800X 001109 IA Primary

Addresses

Primary practice location

1601 NW 114TH St Ste 151
Clive, IA 50325-7046

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9030

Other practice location 1

6601 SW 9th St Ste 2
Des Moines, IA 50315-6138
Phone (515) 643-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 9, 2024 through Oct 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06140IAMDCounselor

Interoperability endpoints

  • Direct secure messaging: melissacribari@normd.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1396864484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-9030",
            "fax_number": "515-643-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST STE 151",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257046",
            "telephone_number": "515-643-9030",
            "fax_number": "515-643-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 SW 9th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503156138",
            "country_code": "US",
            "telephone_number": "515-643-9030",
            "fax_number": "515-643-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIBARI",
        "first_name": "MELISSA",
        "middle_name": "JUNE",
        "credential": "LMHC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "06140",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.