Individual provider Active NPI

Melina Tumpkin, LLPC

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1881200947
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016757 Issued in MI
Practice address
2350 Washtenaw Ave Ste 4
Ann Arbor, MI 48104-4525
Phone
(734) 645-8944
NPI assigned
Sep 23, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016757 MI Primary

Addresses

Primary practice location

2350 Washtenaw Ave Ste 4
Ann Arbor, MI 48104-4525

Mailing address

19369 Silver Spring Dr Apt 203
Northville, MI 48167-2567
Phone (248) 413-7095

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
6401016757MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Identity Counseling Psychology PLLC CurrentSince Sep 27, 2020 Accepting new patients

Locations

2350 Washtenaw Ave
Ste 4
Ann Arbor, MI 48104
Phone (734) 645-8944

Organizations & group practices 1

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1881200947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19369 SILVER SPRING DR APT 203",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672567",
            "telephone_number": "248-413-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 4",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044525",
            "telephone_number": "734-645-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMPKIN",
        "first_name": "MELINA",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.