Jason John Melia, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009803 Issued in NY

Practice address

63 Somerset Ave
Mastic, NY 11950-4214

Phone

(516) 983-1825

NPI assigned

Feb 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• MCCD Psychiatry Services PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823
  Medicare reassignment NPD
• Soulution Wellness Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mastic, NY
  • NPI 1285407957
  NPD Authorized official

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1851983415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SOMERSET AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119504214",
            "telephone_number": "516-983-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SOMERSET AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119504214",
            "telephone_number": "516-983-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIA",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Martin, PTA
• Mastic Volunteer Ambulance Company, Inc.
• Matt Family Residency
• Sarah Kate Mayott
• Octavia Denise McMillan-Mahabir, LPN
• Ashley Melillo
• Michael Salvatore Mennella
• Anne Irene Messina
• Catherine V Miller, LPN
• Gail Robin Miller, R.N.

• Mental Health Counselor in Mastic, NY
• Providers in Mastic, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.