Individual provider Active NPI

Melissa Meeske

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1417006099
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0005106 Issued in CO
Practice address
9480 Briar Village PT Ste 200
Colorado Springs, CO 80920-7923
Phone
(719) 278-3627
Fax
(719) 623-2101
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC.0005106 CO Primary

Addresses

Primary practice location

9480 Briar Village PT Ste 200
Colorado Springs, CO 80920-7923

Mailing address

6270 Lehman Dr Ste 208
Colorado Springs, CO 80918-1470
Phone (719) 661-5572

Other practice location 1

875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 572-6200

Other practice location 2

875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 572-6200

Other practice location 3

6270 Lehman Dr Ste 208
Colorado Springs, CO 80918
Phone (719) 661-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250818002627 CO Practitioner - Mental Health Counselor 1254843469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

9480 Briar Village PT
Colorado Springs, CO 80920-7922
Phone (719) 623-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0005106COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Melissa M Meeske LLC Professional Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

6270 Lehman Dr
Ste 208
Colorado Springs, CO 80918
Phone (719) 661-5572

9480 Briar Village Pt
Ste 200
Colorado Springs, CO 80920
Phone (719) 278-3627

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1417006099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 LEHMAN DR STE 208",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181470",
            "telephone_number": "719-661-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 BRIAR VILLAGE PT STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207923",
            "telephone_number": "719-278-3627",
            "fax_number": "719-623-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 W Moreno Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809051731",
            "country_code": "US",
            "telephone_number": "719-572-6200",
            "fax_number": "719-572-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 W Moreno Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809051731",
            "country_code": "US",
            "telephone_number": "719-572-6200",
            "fax_number": "719-572-6427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6270 Lehman Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80918",
            "country_code": "US",
            "telephone_number": "719-661-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEESKE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0005106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.