Melissa Buckley, CPC-INTERN
Individual provider Active NPI Professional Counselor · Las Vegas, NV
NPI 1487537221 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1487537221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CI5596 (NV)
- Practice address
- 2445 Fire Mesa St Ste 190
Las Vegas, NV 89128-9015 - Phone
- (702) 456-4262
- Fax
- (702) 745-0652
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI5596 | NV | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CI5596 | NV | Yes |
Addresses
Primary practice location
2445 Fire Mesa St Ste 190
Las Vegas, NV 89128-9015
Mailing address
2445 Fire Mesa St Ste 190
Las Vegas, NV 89128-9015
Phone (702) 456-4262
Other providers in Las Vegas, NV
- Raphael Buckles
- Shelby S Buckles
- Brenda Buckley
- Heidi Buckley
- Loretta Buckley
- Qiana Buckley
- Samantha K Buckley
- Sheila Buckley
- Valerie Buckley
- Amy Buckman
All providers in Las Vegas, NV · Professional Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.