Individual provider Active NPI

Melissa Brooke Tannen, LPC, LMHC

  • Mental Health Counselor
  • Plattsburgh, NY
National Provider Identifier
1578900650
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
22 US Oval Ste 100
Plattsburgh, NY 12903-5901
Phone
(518) 563-8000
NPI assigned
May 29, 2013
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

22 US Oval Ste 100
Plattsburgh, NY 12903-5901

Mailing address

22 US Oval Ste 100
Plattsburgh, NY 12903-5901

Other names 1

  • Melissa Citron Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250918001528 NY Practitioner - Mental Health Counselor 5597269944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 US Oval
Suite 218
Plattsburgh, NY 12903-5901

27 Cedar Lane
Bolton Landing, NY 12814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013051NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa B. Citron, LPC, LLC Mental Health CurrentSince Jul 7, 2024 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Aug 18, 2025 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 563-8206

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1578900650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035901",
            "telephone_number": "518-563-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNEN",
        "first_name": "MELISSA",
        "middle_name": "BROOKE",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CITRON",
            "credential": "LPC, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.