Melissa Dennis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1878 Issued in CT

Practice address

415 Silas Deane Hwy
Suite 220
Wethersfield, CT 06109-2124

Phone

(860) 529-1696

Fax

(860) 529-1696

NPI assigned

Oct 1, 2009

Last updated

Nov 17, 2013By 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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

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.

• State of Connecticut

  dba Capitol Region Mental Health Center

  • Psychiatric Hospital
  • Hartford, CT
  • NPI 1487689022
  Medicare reassignment
• A Balanced Life Counseling Center, LLC

  • Professional Counselor
  • Wethersfield, CT
  • NPI 1407286081
  NPD (past) Authorized official

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384646400000",
    "number": "1609100056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SILAS DEANE HWY",
            "address_2": "SUITE 220",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092124",
            "telephone_number": "860-529-1696",
            "fax_number": "860-529-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SILAS DEANE HWY",
            "address_2": "SUITE 220",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092124",
            "telephone_number": "860-529-1696",
            "fax_number": "860-529-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2013-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "1878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Dean, MS, PA-C
• Anthony John Defilippo, DMD
• James Salvatore Defilippo, DDS
• Antonella Dellaripa
• Alexandra Demosthene, LPC
• Dental Associates of Wethersfield
• Dental Associates of Wethersfield, PLLC
• Kaitlyn Desjardin
• Orlando Diaz, CRNA
• Michael Dibiase

• Professional Counselor in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.