Melissa G Marcellino, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068-0074983 Issued in VT

Practice address

174 Hospital Loop
Berlin, VT 05602-9105

Phone

(802) 479-4083

Fax

(802) 476-1476

NPI assigned

Jul 12, 2011

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 identifiers 1

Other names 1

• Melissa G Koehler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841588894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-476-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HOSPITAL LOOP",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029105",
            "telephone_number": "802-479-4083",
            "fax_number": "802-476-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLINO",
        "first_name": "MELISSA",
        "middle_name": "G",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0074983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019322",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KOEHLER",
            "middle_name": "G",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica L Macleod, APRN
• Ty Macwalters, CPHT
• Nancy Mahoney, MS, CCC-SLP
• Beth Ann Maier, M.D.
• Marvin Keith Malek, MD
• Mark E. Crane MD, LLC
• Bridget Efua Martin, MPH
• Meredith Mashtare, MSW
• Michael H Mason, MD
• Barbara A Matarazzo, APRN

• Mental Health Counselor in Berlin, VT
• Providers in Berlin, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.