Melissa Mae Coates, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8587-125 Issued in WI

Practice address

2620 Stewart Ave Ste 210
Wausau, WI 54401-4162

Phone

(715) 848-4884

Fax

(715) 348-1253

NPI assigned

Sep 12, 2016

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Melissa Mae Glass Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Connection Health Care, Inc.

  dba Bridge Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Wausau, WI
  • NPI 1457370744
  Medicare reassignment NPD
• Options Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greendale, WI
  • NPI 1720369366
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1649728387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N11510 SPRING ST",
            "city": "ANIWA",
            "state": "WI",
            "postal_code": "544089785",
            "telephone_number": "715-348-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 210",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-848-4884",
            "fax_number": "715-348-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8587-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GLASS",
            "middle_name": "MAE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam G Clements, DO
• Clifford Chiropractic Rehabilitation Center (Clifford Chiropractic)
• Craig C Clifford, MD
• John Robert Clifford, DDS, MS
• Heather Coates
• Kerry Coenen, CST/CSFA
• April E Coey, RN
• Lindsay Colby, PTA
• Shannon Cole-Cameron, MSW, LCSW
• Damon Cole

• Professional Counselor in Wausau, WI
• Providers in Wausau, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.