Melissa A Klass, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10017 Issued in IA

Practice address

720 Kenyon Rd
Fort Dodge, IA 50501-5759

Phone

(800) 482-8305

NPI assigned

May 29, 2019

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

Other names 1

• Melissa A Pott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1902464688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASS",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "10017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "POTT",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy M Khommanyvong, LMSW
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• Joan Lee Kitten, ARNP
• Kathline K Kitterman, MA- SLP
• Amanda Klusman
• James H Knight, DDS
• Eric Christopher Knox, DDS
• Lacy Lee Knutson, LPN
• KNX Dental Enterprises, LLC

• Addiction (Substance Use Disorder) Counselor in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.