Melanie Jesse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018125 Issued in IL

Practice address

1215 4TH St
Pawnee, IL 62558-9619

Phone

(217) 883-0708

NPI assigned

Aug 2, 2016

Sex

Female

Sole proprietor

Yes

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.

• Best Life Counseling Services LLC

  • Clinical Social Worker
  • Springfield, IL
  • NPI 1386295236

  Clinical, IL

  Medicare reassignment Care Compare group NPD Authorized official
• Bahn and Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, IL
  • NPI 1932408929

  IL

  Medicare reassignment NPD

Specialty

Clinical Social Worker

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Best Life Counseling Services LLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2016.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1922551316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 4TH ST",
            "city": "PAWNEE",
            "state": "IL",
            "postal_code": "625589619",
            "telephone_number": "217-883-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 4TH ST",
            "city": "PAWNEE",
            "state": "IL",
            "postal_code": "625589619",
            "telephone_number": "217-883-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSE",
        "first_name": "MELANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Blevins Krivi
• Carl Joseph Clarizio III, ATC, LAT, M.ED.
• Community Drug, Inc.
• Harrys Pharmacy Inc
• Michaela Hartley
• Steven T Landrey, D.C.
• Kathleen Morris, B.S., M.A.
• Pathway Chiropractic, P.C.
• Pawnee Comm. Unit School Dist #11
• Pawnee Fire Protection Dist

• All providers in Pawnee, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.