Melanie Marklein, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

071.008695 Issued in IL

Practice address

1936 County Road 1850 N
Urbana, IL 61802-9626

Phone

(217) 778-3452

NPI assigned

Dec 19, 2013

Last updated

Apr 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 16, 2021 through Jun 16, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Two Spirit Counseling

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  • NPI 1437560109
  NPD (past) Authorized official
• Steadfast Center LLC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1659855997
  NPD (past)

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1902227879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 COUNTY ROAD 1850 N",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618029626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 COUNTY ROAD 1850 N",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618029626",
            "telephone_number": "217-778-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEIN",
        "first_name": "MELANIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "071.008695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suparna Mantha, M.D.
• Nathaniel John Manzano, PT
• Maham Maqsood, MBBS
• Jeffrey C Margetts, MD
• Charles R Maris, MD
• Alexandria Marr, M.S. CCC-SLP
• Emma Marr, NP
• Chavier Marshall, CNA
• Kristina J Marshall, CNS
• Molly Beatrice Martin, CF-SLP

• Counseling Psychologist in Urbana, IL
• Providers in Urbana, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.