Individual provider Active NPI

Melissa Wheeler, LISW

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1649528399
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1200478 Issued in OH
Practice address
20545 Detroit Rd # 8
Rocky River, OH 44116-2426
Phone
(216) 600-8488
NPI assigned
Aug 28, 2012
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I1200478 OH
Clinical Social Worker 1041C0700X I.1200478 OH Primary

Addresses

Primary practice location

20545 Detroit Rd # 8
Rocky River, OH 44116-2426

Mailing address

6773 Orchard Blvd
Parma Heights, OH 44130
Phone (440) 787-9819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20130827000819 OH Practitioner - Clinical Social Worker 8325281074 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1200478OHMDMental Health Counselor
I.1200478OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Health and Wellness Center Mental Health CurrentSince Oct 12, 2021 Accepting new patients
Psychological & Behavioral Consultants, LLC Mental Health CurrentSince Jul 18, 2013 Accepting new patients
Insight Counseling Group LLC Mental Health CurrentSince Dec 15, 2024 Accepting new patients

Locations

21625 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone (216) 407-4407

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

20525 Detroit Rd
Ste 8
Rocky River, OH 44116
Phone (216) 236-4266

24500 Center Ridge Rd
Ste 345
Westlake, OH 44145
Phone (216) 600-8488

Interoperability endpoints

  • Direct secure messaging: pbc.melissawheeler@140094.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1649528399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6773 ORCHARD BLVD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-787-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20545 DETROIT RD # 8",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162426",
            "telephone_number": "216-600-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MELISSA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I1200478",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.