Individual provider Active NPI

Melinda Kay Koskela, PCC

  • Mental Health Counselor
  • Port Clinton, OH
National Provider Identifier
1891023982
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0007445 Issued in OH
Practice address
318 Madison St
Port Clinton, OH 43452-1921
Phone
(419) 635-5695
Fax
(419) 734-2123
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0007445 OH Primary

Addresses

Primary practice location

318 Madison St
Port Clinton, OH 43452-1921

Mailing address

318 Madison St
Port Clinton, OH 43452-1921
Phone (419) 656-3900

Other identifiers 1

IdentifierTypeStateIssuer
0193287MedicaidOH

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
E0007445OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melinda Koskela, LLC Mental Health CurrentSince May 14, 2023 Accepting new patients

Locations

318 Madison St
Port Clinton, OH 43452
Phone (419) 635-5695

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1891023982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521921",
            "telephone_number": "419-656-3900",
            "fax_number": "419-734-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521921",
            "telephone_number": "419-635-5695",
            "fax_number": "419-734-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKELA",
        "first_name": "MELINDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0007445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193287",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.