Individual provider Active NPI

Lee Anne Melnik

  • Counselor
  • Largo, FL
National Provider Identifier
1497466650
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LSW0000013395 Issued in TN
Practice address
13191 Starkey Rd Ste 14
Largo, FL 33773-1400
Phone
(727) 458-6906
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LSW0000013395 TN Primary

Addresses

Primary practice location

13191 Starkey Rd Ste 14
Largo, FL 33773-1400

Mailing address

12953 Whittington CT
Largo, FL 33773-1874
Phone (727) 458-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000013395TNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Jan 9, 2025 Accepting new patients

Locations

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1497466650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12953 WHITTINGTON CT",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731874",
            "telephone_number": "727-458-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13191 STARKEY RD STE 14",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731400",
            "telephone_number": "727-458-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIK",
        "first_name": "LEE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "LSW0000013395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.