Individual provider Active NPI

Michelle Rolen

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1932826419
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61330596 Issued in WA
Practice address
901 Olympia Ave NE
Olympia, WA 98506-3937
Phone
(360) 515-1087
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61330596 WA Primary
Mental Health Counselor 101YM0800X 161224181 WA

Addresses

Primary practice location

901 Olympia Ave NE
Olympia, WA 98506-3937

Mailing address

901 Olympia Ave NE
Olympia, WA 98506-3937
Phone (360) 515-1078

Other names 1

  • Miss Michelle Merlitti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250106002472 WA Practitioner - Mental Health Counselor 7719415629 Practice locations: Tumwater, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Custer Way SW
Tumwater, WA 98501-3330
Phone (360) 994-1275

901 Olympia Ave NE
Olympia, WA 98506-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161224181WAMDMental Health Counselor
61330596WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Consultation Services LLC PastSince Sep 23, 2024 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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1932826419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 OLYMPIA AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063937",
            "telephone_number": "360-515-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OLYMPIA AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063937",
            "telephone_number": "360-515-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLEN",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61330596",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "161224181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MERLITTI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.