Individual provider Active NPI

Julie C Melzer, M.A., LPCC

  • Professional Counselor
  • Mankato, MN
National Provider Identifier
1457617185
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00720 Issued in MN
Practice address
11 Civic Center PLZ Ste 205
Mankato, MN 56001-7718
Phone
(507) 345-4679
Fax
(507) 345-8685
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00720 MN Primary

Addresses

Primary practice location

11 Civic Center PLZ Ste 205
Mankato, MN 56001-7718

Mailing address

11 Civic Center PLZ Ste 205
Mankato, MN 56001-7718
Phone (507) 345-4679

Other names 1

  • Julie C Blaufuss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250902003491 MN Practitioner - Mental Health Counselor 4688175441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addictions and Stress Clinics LTDGroup PAC ID 3476790296, 4 clinicians

Practice addresses (Care Compare)

11 Civic Ctr PLZ
Suite 205
Mankato, MN 56001-7718
Phone (507) 345-4679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC00720MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Addictions and Stress Clinics LTD CurrentSince Jun 19, 2025 Accepting new patients

Locations

12 Civic Center Plz
Ste 1615
Mankato, MN 56001
Phone (507) 345-4679

11 Civic Center Plz
Ste 205
Mankato, MN 56001
Phone (507) 345-4679

2277 Highway 36 W
Ste 150
Saint Paul, MN 55113
Phone (507) 345-1194

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1457617185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CIVIC CENTER PLZ STE 205",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017718",
            "telephone_number": "507-345-4679",
            "fax_number": "507-345-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CIVIC CENTER PLZ STE 205",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017718",
            "telephone_number": "507-345-4679",
            "fax_number": "507-345-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELZER",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "M.A., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2024-01-12",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BLAUFUSS",
            "middle_name": "C",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.