Melissa Ann Stetina

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2014038416 Issued in MO

Practice address

541 County Road 112
Ironton, MO 63650-4149

Phone

(573) 546-7592

NPI assigned

Nov 12, 2014

Last updated

Nov 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

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.

• Great Mines Health Center

  • Federally Qualified Health Center (FQHC)
  • Potosi, MO
  • NPI 1376536953
  Medicare reassignment NPD
• Great Mines Health Center

  dba Farmington R-VII - Dayse Baker Learning Center

  • Federally Qualified Health Center (FQHC)
  • Farmington, MO
  • NPI 1073188462
  NPD

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1699171017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 COUNTY ROAD 50",
            "city": "CALEDONIA",
            "state": "MO",
            "postal_code": "636319125",
            "telephone_number": "314-602-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 COUNTY ROAD 112",
            "city": "IRONTON",
            "state": "MO",
            "postal_code": "636504149",
            "telephone_number": "573-546-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETINA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2014038416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkland Pharmacy Development LLC (Parkland Pharmacy)
• Erika Michelle Parks, PHARM.D.
• Scenic View LLC (Valley Residential Care)
• Christopher Shawn Skinner, MA, LPC
• Southeast Missouri Behavioral Health
• The Baptist Home (Baptist Homes of Arcadia Valley)
• The Baptist Home
• Mark Anthony Trolinger, RPH
• Valley Chiropractic Center, Inc.
• Victory Mountain, Inc. (Victory Mountain Boys Ranch)

• Mental Health Counselor in Ironton, MO
• Providers in Ironton, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.