Melanie Garzonio, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014393 Issued in MI

Practice address

1100 N Main St
Ann Arbor, MI 48104-1059

Phone

(231) 935-6382

NPI assigned

Dec 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melanie Jacobs Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stellar Clinic CT PLLC

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1609641042
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1831633486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041059",
            "telephone_number": "231-935-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZONIO",
        "first_name": "MELANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "JACOBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Douglas Garwood, M.D.
• Robert Garwood, M.D.
• Gary C. Spencer O.D., P.C.
• Gary G Smith, LMSW, LLC
• Albert S Garza II
• Allison Laura Gaskell, PT, DPT
• Kendall Gaspari, LMSW
• Daizja Gater
• Tyson Gatermann, LMSW
• Kelsey Gates

• Professional Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.

Verify at the official NPI Registry.