Marcus G Melesio

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4429 S River Blvd
Independence, MO 64055-4659

Phone

(816) 768-0090

NPI assigned

Jun 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Archway Clinics LLC

  • Clinic/Center
  • Overland Park, KS
  • NPI 1497531537
  NPD Authorized official
• Bridgeway Clinics LLC

  • Clinic/Center
  • Independence, MO
  • NPI 1609510809
  NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1609506351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 S RIVER BLVD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554659",
            "telephone_number": "816-768-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 S RIVER BLVD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554659",
            "telephone_number": "816-768-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELESIO",
        "first_name": "MARCUS",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Independence",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4429 S River Blvd",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640554659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie M Meek, CCC-SLP
• Arshad Mehmood
• Raj Mehta, MD
• Donald G Meiners, DDS
• Zachary Meiners, DDS
• Elizabeth Melton, APRN
• Memoir Counseling, LLC
• Bobbi Mendes
• Caroline Mendus, OD
• Timothy Edward Meng, D. C.

• Mental Health Counselor in Independence, MO
• Providers in Independence, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.