Individual provider Active NPI

Melanie M Benedict, MOFS.ED

  • Professional Counselor
  • Bellevue, OH
National Provider Identifier
1669494076
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.3258 Issued in OH
Practice address
5433 State Route 113
Bellevue, OH 44811-9708
Phone
(419) 483-3918
Fax
(419) 484-1203
NPI assigned
Jul 24, 2006
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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 E.3258 OH Primary

Addresses

Primary practice location

5433 State Route 113
Bellevue, OH 44811-9708

Mailing address

5409 State Route 113
Bellevue, OH 44811-9708
Phone (419) 483-3918

Other identifiers 1

IdentifierTypeStateIssuer
000000185492OtherOHANTHEM BLUE CROSS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.3258OHMDProfessional Counselor

Organizations & group practices 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1669494076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 STATE ROUTE 113",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119708",
            "telephone_number": "419-483-3918",
            "fax_number": "419-484-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 STATE ROUTE 113",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119708",
            "telephone_number": "419-483-3918",
            "fax_number": "419-484-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "MELANIE",
        "middle_name": "M",
        "credential": "MOFS.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.3258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PIN",
            "identifier": "000000185492",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.