Individual provider Active NPI

Melissa Lewis

  • Professional Counselor
  • Mercer, PA
National Provider Identifier
1649830035
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011469 Issued in PA
Practice address
456 N Pitt St
Mercer, PA 16137-1129
Phone
(724) 662-7202
Fax
(724) 662-7208
NPI assigned
Jun 18, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011469 PA Primary

Addresses

Primary practice location

456 N Pitt St
Mercer, PA 16137-1129

Mailing address

456 N Pitt St
Mercer, PA 16137-1129
Phone (724) 662-7202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241230002936 PA Practitioner - Mental Health Counselor 2961939319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Journey Counseling and Consulting LLCGroup PAC ID 1052848405, 3 clinicians

Practice addresses (Care Compare)

902 Market St
Meadville, PA 16335-3319
Phone (814) 219-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Journey Counseling and Consulting LLC Professional CurrentSince Nov 1, 2024 Accepting new patients
Paoletta Counseling Services, Inc PastSince Oct 13, 2019 Accepting new patients
Paoletta Counseling Services, Inc Past Accepting new patients

Locations

902 Market St
Meadville, PA 16335
Phone (814) 219-3800

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1649830035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202",
            "fax_number": "724-662-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N PITT ST",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161371129",
            "telephone_number": "724-662-7202",
            "fax_number": "724-662-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer, PA

Sources for this page

Verify at the official NPI Registry.