Mellanie Knox

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

851 Wendover Blvd
Norton Shores, MI 49441-5053

Phone

(248) 298-9215

NPI assigned

Dec 11, 2013

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 MI

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvest Center for Wellness LLCGroup PAC ID 9931544707, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Harvest Center for Wellness LLC

  • Professional Counselor
  • Detroit, MI
  • NPI 1093577678
  Medicare reassignment Care Compare group NPD Authorized official
• Harvest Retreat Drop-in Center

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1215470067
  NPD Authorized official

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1609207042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 HARDING ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372523",
            "telephone_number": "248-298-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 WENDOVER BLVD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415053",
            "telephone_number": "248-298-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "MELLANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Shawn Kelley, CPM
• Rebecca Lynn Kelly, PT, DPT
• Kristen Kennedy, MA, LPC, NCC
• Kimberlee K Erickson-Worpel Ma,LLP
• Trisha King, LMSW
• Lindsay Koberna, AU.D.
• Ashley Kooistra, DPT
• Erin Brenna Koole
• Laura Kordick, DPT
• Kurt Kreiner

• Professional Counselor in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.