Micaela Mellow, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9329 Issued in CT

Practice address

90 Appletree LN
Portland, CT 06480-1072

Phone

(860) 294-4953

NPI assigned

Jan 26, 2026

Last updated

Jul 9, 2026By 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

• Micah Mellow Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1679422364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROGRESS DR",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161035",
            "telephone_number": "860-294-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 APPLETREE LN",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801072",
            "telephone_number": "860-294-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOW",
        "first_name": "MICAELA",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "9329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAH",
            "last_name": "MELLOW",
            "credential": "LPCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Portland, CT
• Providers in Portland, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.