Individual provider Active NPI

Melissa Marie Cribb, MS, LADC, LPCC

  • Mental Health Counselor
  • Anoka, MN
National Provider Identifier
1861864068
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC01019 Issued in MN
Practice address
1833 3Rd Ave
Anoka, MN 55303-2424
Phone
(612) 924-3807
NPI assigned
Oct 27, 2015
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303479 MN
Mental Health Counselor 101YM0800X CC01019 MN Primary

Addresses

Primary practice location

1833 3Rd Ave
Anoka, MN 55303-2424

Mailing address

1833 3Rd Ave
Anoka, MN 55303-2424
Phone (612) 924-3807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20240220003892 MN Practitioner - Mental Health Counselor 7517301302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 3Rd St SE
Osseo, MN 55369-1606
Phone (763) 259-8086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
303479MNMDAddiction (Substance Use Disorder) Counselor
CC01019MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karis Health, PLLC CurrentSince Oct 4, 2024 Accepting new patients
Family Innovations, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Central Minnesota Mental Health Center Past Accepting new patients
Central Minnesota Mental Health Center Mental Health Past Accepting new patients
West Central Counseling LLC Mental Health PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

6800 78th Ave N
Ste 101
Brooklyn Park, MN 55445
Phone (612) 314-0349

411 3rd St SE
Osseo, MN 55369
Phone (763) 259-8086

500 3rd St SE
Osseo, MN 55369
Phone (612) 466-0798

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1861864068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 3RD AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032424",
            "telephone_number": "612-924-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 3RD AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032424",
            "telephone_number": "612-924-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIBB",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MS, LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303479",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

Verify at the official NPI Registry.