Melissa Ann Petoletti, MS, LPCC, LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00490 Issued in MN

Practice address

5900 Green Oak Dr Ste 303
Minnetonka, MN 55343-4799

Phone

(952) 256-6734

Fax

(952) 229-4468

NPI assigned

Jun 6, 2012

Last updated

Nov 12, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Reach for Resources, Inc.

  • Case Management Agency
  • Minnetonka, MN
  • NPI 1285645325

  Professional

  Medicare reassignment NPD
• Karol, PC

  dba Karol Neuropsychological Services & Consulting

  • Clinical Neuropsychologist
  • Eden Prairie, MN
  • NPI 1053383679
  NPD (past)
• Vinland National Center

  • Substance Abuse Rehabilitation Facility
  • Loretto, MN
  • NPI 1144329632
  NPD (past)

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1699036665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 GREEN OAK DR STE 303",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553434799",
            "telephone_number": "952-256-6734",
            "fax_number": "952-229-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 GREEN OAK DR STE 303",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553434799",
            "telephone_number": "952-256-6734",
            "fax_number": "952-229-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETOLETTI",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00490",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00490",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "00490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Marie Peterson
• Debra J Peterson, RN, CFNP
• Gretchen Elsa Peterson, LICSW
• Kathleen Marie Frischmann Peterson, PSYD, LP
• Sieglinde Iris Peterson, M.D.
• Mary Petruzzi, APRN
• Laura Marie Pett, MA CCC A
• Jennifer Petzoldt
• Crystal A Pfisterer, D.C.
• Laura Jean Philbrook, RN

• Professional Counselor in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.