Melissa Louwagie Patterson, MA, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2942 Issued in MN

Practice address

4400 Enchanted Dr
Mound, MN 55364-8411

Phone

(612) 819-4278

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Melissa Patterson Therapy PLLC (Boulevard Therapy)

  dba BLVD Therapy

  • Mental Health Counselor
  • Wayzata, MN
  • NPI 1144999087
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1508530643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ENCHANTED DR",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553648411",
            "telephone_number": "612-819-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ENCHANTED DR",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553648411",
            "telephone_number": "612-819-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MELISSA",
        "middle_name": "LOUWAGIE",
        "credential": "MA, LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ally Claire Monson
• Kelly Rae Moore, DDS
• Jayme Lynn Moulton, DC
• Mound Back & Neck Clinic Limited
• Msi Health Care Supply
• Christine Chapman Paulson, LMFT
• Mary Bernadette Philp, DDS
• Caitlyn Pote, RD
• Tracy Elizabeth Pozar, CFNP
• Danielle Ann Pulkrabek, ATR, CSCS

• Mental Health Counselor in Mound, MN
• Providers in Mound, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.