Individual provider Active NPI

Melissa Bertini

  • Professional Counselor
  • Troy, MI
National Provider Identifier
1447683453
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014821 Issued in MI
Practice address
5505 Corporate Dr
Troy, MI 48098-2614
Phone
(248) 452-9222
NPI assigned
Aug 13, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013507 MI
Professional Counselor 101YP2500X 6401014821 MI Primary

Addresses

Primary practice location

5505 Corporate Dr
Troy, MI 48098-2614

Mailing address

5505 Corporate Dr
Troy, MI 48098-2614

Other practice location 1

1200 N Telegraph Rd Bldg 32E
Pontiac, MI 48341-1032
Phone (248) 451-3787

Other practice location 2

1200 N Telegraph Rd Bldg 32E
Pontiac, MI 48341-1032
Phone (248) 451-3787

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

LicenseStateTypeSpecialty
6401013507MIMDCounselor
6401014821MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Integrated Healthcare Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.bertini.p1@direct.oihn.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447683453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 CORPORATE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 CORPORATE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982614",
            "telephone_number": "248-452-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Telegraph Rd Bldg 32E",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411032",
            "country_code": "US",
            "telephone_number": "248-451-3787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Telegraph Rd Bldg 32E",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411032",
            "country_code": "US",
            "telephone_number": "248-451-3787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTINI",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013507",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.