Individual provider Active NPI

Melissa Wilson, MS, LMHC

  • Mental Health Counselor
  • Clive, IA
National Provider Identifier
1679441174
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
119399 Issued in IA
Practice address
12247 Stratford Dr
Clive, IA 50325-8147
Phone
(515) 393-6702
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 119399 IA Primary

Addresses

Primary practice location

12247 Stratford Dr
Clive, IA 50325-8147

Mailing address

1847 Gordon CT
Norwalk, IA 50211-1160
Phone (515) 249-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20251119000363 IA Practitioner - Mental Health Counselor 5991296881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12247 Stratford Dr
Clive, IA 50325-8147

1715 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
119399IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Mental Health PC Mental Health CurrentSince Oct 27, 2025 Accepting new patients

Locations

1345 SW Park Square Dr
Ste 206
Ankeny, IA 50023
Phone (515) 329-7735

12247 Stratford Dr
Clive, IA 50325
Phone (515) 212-2091

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1679441174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 GORDON CT",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111160",
            "telephone_number": "515-249-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258147",
            "telephone_number": "515-393-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELISSA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "119399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.