Nelson Felix Mellado, C.A.D.C
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Iowa City, IA
NPI 1821233743 · NPPES record last updated Dec 5, 2008
Key facts
- NPI
- 1821233743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 00087 (IA)
- Practice address
- 220 Lafayette St
Iowa City, IA 52240-1746 - Phone
- (319) 351-9760
- NPI assigned
- Dec 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00087 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awakening Substance Abuse & Behavioral Health | Current | Accepting new patients | |
| Resolutions Substance Abuse Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00087 | IA | Yes |
Addresses
Primary practice location
220 Lafayette St
Iowa City, IA 52240-1746
Mailing address
220 Lafayette St
Iowa City, IA 52240-1746
Phone (319) 351-9760
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All providers in Iowa City, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.