Active NPI
Melanie Lindblade, LCPC CRADC
- Professional Counselor
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011512
- Practice address
- 4849 Paulsen St Ste 209
Savannah, GA 31405-4425 - Phone
- (912) 600-8800
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006451 | IL | |
| Professional Counselor | 101YP2500X | LPC011512 | GA | Primary |
Addresses
Primary practice location
4849 Paulsen St Ste 209
Savannah, GA 31405-4425
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 387-2547
Other practice location 1
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 387-2547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Holmes CT
Suite 100
Pooler, GA 31322-4801
Phone (912) 254-4401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011512 | GA | MD | Professional Counselor |
| 180.006451 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Professional | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
6 Holmes Ct
Ste 100
Pooler, GA 31322
Phone (912) 254-4401
4849 Paulsen St
Ste 209
Savannah, GA 31405
Phone (912) 600-8800
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Interoperability endpoints
- lifestancehealth.melanielindblade@143219.advancedmd-direct.com
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": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1598098378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073877",
"telephone_number": "815-387-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 PAULSEN ST STE 209",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054425",
"telephone_number": "912-600-8800"
}
],
"practiceLocations": [
{
"address_1": "1021 N Mulford Rd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611073877",
"country_code": "US",
"telephone_number": "815-387-2547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDBLADE",
"first_name": "MELANIE",
"credential": "LCPC CRADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006451",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.