Individual provider Active NPI

Melissa Kate McIntosh, MPS, ATR-BC, LCAT

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1740589639
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
05001587 Issued in NY
Practice address
167 W. 21St St., 3SE
New York, NY 10011-3200
Phone
(646) 236-3349
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 05001587 NY Primary
Professional Counselor 101YP2500X 180007752 IL

Addresses

Primary practice location

167 W. 21St St., 3SE
New York, NY 10011-3200

Mailing address

167 W. 21St St., #3SC
New York, NY 10011-3200
Phone (646) 236-3349

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

LicenseStateTypeSpecialty
05001587NYMDMental Health Counselor
180007752ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Kate McIntosh, Inc. Mental Health Past Accepting new patients
Melissa Kate McIntosh, Inc. Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1740589639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W. 21ST ST., #3SC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113200",
            "telephone_number": "646-236-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W. 21ST ST., 3SE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113200",
            "telephone_number": "646-236-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MELISSA",
        "middle_name": "KATE",
        "credential": "MPS, ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "05001587",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.