Individual provider Active NPI

Melissa Bernstein-Linan, LPC, LAC

  • Mental Health Counselor
  • Pueblo, CO
National Provider Identifier
1861878639
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC.0016003 Issued in CO
Practice address
414 Broadway Ave
Pueblo, CO 81004-2128
Phone
(719) 357-6766
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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 ACD.0001627 CO
Mental Health Counselor 101YM0800X LPCC.0016003 CO Primary

Addresses

Primary practice location

414 Broadway Ave
Pueblo, CO 81004-2128

Mailing address

414 Broadway Ave
Pueblo, CO 81004-2128
Phone (719) 357-6766

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbernstein@kidscrossing.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001627COMDAddiction (Substance Use Disorder) Counselor
LPCC.0016003COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1861878639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042128",
            "telephone_number": "719-357-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042128",
            "telephone_number": "719-357-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN-LINAN",
        "first_name": "MELISSA",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001627",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0016003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbernstein@kidscrossing.com",
            "affiliation": "N",
            "endpointDescription": "email address for primary practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "414 Broadway Ave",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810042128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.