Active NPI
Tamara B Mello, LCPC-C
- Professional Counselor
- Waterville, ME
National Provider Identifier
1871875690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL3849
- Practice address
- 2 School St
Suite 1
Waterville, ME 04901-7518 - Phone
- (207) 458-7491
- Fax
- (207) 274-2999
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL3849 | ME | Primary |
Addresses
Primary practice location
2 School St
Suite 1
Waterville, ME 04901-7518
Mailing address
2 School St
Suite 1
Waterville, ME 04901-7518
Phone (207) 458-7491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240129004260 | ME | Practitioner - Mental Health Counselor | 2860845526 | Practice locations: Palermo, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1568 Level Hill Rd
Palermo, ME 04354-7502
Phone (207) 458-7491
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL3849 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1871875690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SCHOOL ST",
"address_2": "SUITE 1",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049017518",
"telephone_number": "207-458-7491",
"fax_number": "207-274-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SCHOOL ST",
"address_2": "SUITE 1",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049017518",
"telephone_number": "207-458-7491",
"fax_number": "207-274-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO",
"first_name": "TAMARA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCPC-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.