Active NPI
Melissa Marie Ross, LCPC, NCC
- Mental Health Counselor
- Peoria, IL
National Provider Identifier
1720919145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180017922
- Practice address
- 7625 N University St
Peoria, IL 61614-1253 - Phone
- (309) 296-0078
- NPI assigned
- May 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180017922 | IL | Primary |
Addresses
Primary practice location
7625 N University St
Peoria, IL 61614-1253
Mailing address
7625 N University St
Peoria, IL 61614-1253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180017922 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1720919145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7625 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7625 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141253",
"telephone_number": "309-296-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180017922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.