Individual provider Active NPI

Melissa Marin, MASTERS, PC

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1730953480
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
30 Monticello Rd Unit 2743
Pawtucket, RI 02861-7729
Phone
(401) 834-7880
Fax
(401) 753-9797
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 Primary

Addresses

Primary practice location

30 Monticello Rd Unit 2743
Pawtucket, RI 02861-7729

Mailing address

30 Monticello Rd Unit 2743
Pawtucket, RI 02861-7729
Phone (401) 834-7880

Other practice location 1

530 N Main St
Providence, RI 02904-5762
Phone (401) 274-2500

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

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1730953480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MONTICELLO RD UNIT 2743",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028617729",
            "telephone_number": "401-834-7880",
            "fax_number": "401-753-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MONTICELLO RD UNIT 2743",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028617729",
            "telephone_number": "401-834-7880",
            "fax_number": "401-753-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045762",
            "country_code": "US",
            "telephone_number": "401-274-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIN",
        "first_name": "MELISSA",
        "credential": "MASTERS, PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.