Individual provider Active NPI

Melissa Wolfe, M.A., LPCC

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1902045651
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
279659 Issued in KY
Practice address
1056 Wellington Way Ste 160
Lexington, KY 40513-2002
Phone
(859) 201-1705
NPI assigned
Feb 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1921 WV
Professional Counselor 101YP2500X 279659 KY Primary

Addresses

Primary practice location

1056 Wellington Way Ste 160
Lexington, KY 40513-2002

Mailing address

200 Bradford St
Charleston, WV 25301-1925
Phone (304) 347-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240306001660 KY Practitioner - Mental Health Counselor 5496191041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jason Muzzillo, PLLCGroup PAC ID 3577997964, 10 clinicians

Practice addresses (Care Compare)

168 E Reynolds Rd
Suite 150
Lexington, KY 40517-1360
Phone (859) 212-3180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279659KYMDProfessional Counselor
1921WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Muzzillo, PLLC CurrentSince May 17, 2025 Accepting new patients
Kanawha Valley Center Inc Past Accepting new patients
Kanawha Valley Center Inc Past Accepting new patients

Locations

168 E Reynolds Rd
Ste 150
Lexington, KY 40517
Phone (859) 212-3180

Organizations & group practices 3

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1902045651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADFORD ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011925",
            "telephone_number": "304-347-9818",
            "fax_number": "304-347-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 WELLINGTON WAY STE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405132002",
            "telephone_number": "859-201-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "M.A., LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1921",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "279659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.