Individual provider Active NPI

Melissa M. Stephan, MS

  • Mental Health Counselor
  • Huntington, IN
National Provider Identifier
1689123374
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005992A Issued in IN
Practice address
26 Victory Noll Dr
Huntington, IN 46750-0037
Phone
(260) 335-3730
Fax
(260) 244-5435
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 39005992A IN Primary

Addresses

Primary practice location

26 Victory Noll Dr
Huntington, IN 46750-0037

Mailing address

909 E State Blvd
Fort Wayne, IN 46805-3458
Phone (260) 482-9125

Other practice location 1

788 W Connexion Way
Columbia City, IN 46725-1046
Phone (260) 481-2700

Other practice location 2

2100 Goshen Rd
Fort Wayne, IN 46808-1493
Phone (260) 471-3500

Other practice location 3

1909 Carew St
Fort Wayne, IN 46805-4707
Phone (260) 481-2800

Other names 1

  • Melissa M King Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Center Inc PastSince Nov 12, 2024 Accepting new patients
Park Center Inc PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 2

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1689123374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053458",
            "telephone_number": "260-482-9125",
            "fax_number": "260-481-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 VICTORY NOLL DR",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467500037",
            "telephone_number": "260-335-3730",
            "fax_number": "260-244-5435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 W Connexion Way",
            "address_purpose": "LOCATION",
            "city": "Columbia City",
            "state": "IN",
            "postal_code": "467251046",
            "country_code": "US",
            "telephone_number": "260-481-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Goshen Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468081493",
            "country_code": "US",
            "telephone_number": "260-471-3500",
            "fax_number": "260-471-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Carew St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054707",
            "country_code": "US",
            "telephone_number": "260-481-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "MELISSA",
        "middle_name": "M.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005992A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KING",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.