Individual provider Active NPI

Melanie Cassulo, LMHC

  • Mental Health Counselor
  • Destin, FL
National Provider Identifier
1922201755
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5093 Issued in FL
Practice address
3999 Commons Dr W Ste K
Destin, FL 32541-8446
Phone
(850) 368-4113
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 MH5093 FL Primary

Addresses

Primary practice location

3999 Commons Dr W Ste K
Destin, FL 32541-8446

Mailing address

326 Harbor PL SW
Fort Walton Beach, FL 32548-6504
Phone (850) 368-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251104004465 FL Practitioner - Mental Health Counselor 2961992342 Practice locations: Destin, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2236 Hwy 17
Iberia, MO 65486

326 Harbor PL SW
Fort Walton Beach, FL 32548-6504

3999 Commons Dr W
Suite K
Destin, FL 32541-8446
Phone (850) 368-4113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH5093FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluewater Medical Billing, LLC Current Accepting new patients

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1922201755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 HARBOR PL SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486504",
            "telephone_number": "850-368-4113",
            "fax_number": "850-837-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 COMMONS DR W STE K",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418446",
            "telephone_number": "850-368-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSULO",
        "first_name": "MELANIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.