Modern Wellness Counseling PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MODERN WELLNESS COUNSELING PC

Practice address

1112 Washington St
Hanover, MA 02339-1675

Phone

(339) 237-0334

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Lisa MellaceNPI 1568834562

Title

LMHC/Owner

Phone

(339) 237-0334

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Mellace, LMHC

  • Mental Health Counselor
  • Hanover, MA
  • NPI 1568834562

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1619657640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391675",
            "telephone_number": "339-237-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN WELLNESS COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MELLACE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "LMHC/OWNER",
        "authorized_official_telephone_number": "339-237-0334"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Murray Miller, DDS CAGS
• Mindful Psychiatry and Wellness PLLC
• Edith Susan Minkin, NP
• MJR, LLC
• Mobility Plus Physical Therapy
• Jaclyn Marie Molloy
• Moore Family Chiropractic
• Deane Moore, DC
• Kathryn M Murphy, DC
• Virginia Louise Murphy, LMT, CLT

• All providers in Hanover, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.