Active NPI
Stacie Melcher, LMHC
- Professional Counselor
- Longmeadow, MA
National Provider Identifier
1790918134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3695
- Practice address
- 19 Crest Ave
Longmeadow, MA 01106-2321 - Phone
- (860) 543-4496
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000404 | CT | |
| Professional Counselor | 101YP2500X | 3695 | MA | Primary |
Addresses
Primary practice location
19 Crest Ave
Longmeadow, MA 01106-2321
Mailing address
19 Crest Ave
Longmeadow, MA 01106-2321
Phone (413) 567-0678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613001419 | MA | Practitioner - Mental Health Counselor | 3870036262 | Practice locations: Longmeadow, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 Converse St
Longmeadow, MA 01106-1675
Phone (860) 543-4496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3695 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1790918134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CREST AVE",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062321",
"telephone_number": "413-567-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CREST AVE",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062321",
"telephone_number": "860-543-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHER",
"first_name": "STACIE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000404",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "3695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.