Melissa Ann Petoletti, MS, LPCC, LADC
Individual provider Active NPI Professional Counselor · Minnetonka, MN
NPI 1699036665 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1699036665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC00490 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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)
5900 Green Oak Dr
Suite 303
Minnetonka, MN 55343-4799
Phone (952) 200-3030
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207000980 | MN | Practitioner - Mental Health Counselor | 8123461159 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00490 | MN | MD | Professional Counselor |
| 00490 | MN | MD | Adult Mental Health Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach for Resources, Inc. | Professional | Current |
Accepting new patients |
| Karol, PC | Past | Accepting new patients | |
| Vinland National Center | Past |
Accepting new patients |
Locations
5900 Green Oak Dr
Ste 303
Minnetonka, MN 55343
Phone (952) 200-3030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC00490 | MN | Yes |
| Mental Health Counselor | 101YM0800X | 00490 | MN | |
| Adult Mental Health Clinic/Center | 261QM0850X | 00490 | MN |
Addresses
Primary practice location
5900 Green Oak Dr Ste 303
Minnetonka, MN 55343-4799
Mailing address
5900 Green Oak Dr Ste 303
Minnetonka, MN 55343-4799
Phone (952) 256-6734
Other providers in Minnetonka, MN
- Caitlin Marie Peterson
- Debra J Peterson
- Gretchen Elsa Peterson
- Kathleen Marie Frischmann Peterson
- Sieglinde Iris Peterson
- Mary Petruzzi
- Laura Marie Pett
- John Adam Petty
- Jennifer Petzoldt
- Crystal A Pfisterer
All providers in Minnetonka, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.