Melissa Louwagie Patterson, MA, LPCC, LADC
Individual provider Active NPI Mental Health Counselor · Mound, MN
NPI 1508530643 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1508530643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2942 (MN)
- Practice address
- 4400 Enchanted Dr
Mound, MN 55364-8411 - Phone
- (612) 819-4278
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Patterson Therapy PLLC (Boulevard Therapy) | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2942 | MN | Yes |
Addresses
Primary practice location
4400 Enchanted Dr
Mound, MN 55364-8411
Mailing address
4400 Enchanted Dr
Mound, MN 55364-8411
Phone (612) 819-4278
Other providers in Mound, MN
- Ally Claire Monson
- Kelly Rae Moore
- Jayme Lynn Moulton
- Mound Back & Neck Clinic Limited
- Msi Health Care Supply
- Christine Chapman Paulson
- Mary Bernadette Philp
- Caitlyn Pote
- Tracy Elizabeth Pozar
- Danielle Ann Pulkrabek
All providers in Mound, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. 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.