Melissa Foulk, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39005442A Issued in IN

Practice address

1930 Dowling St
Kendallville, IN 46755-9436

Phone

(260) 347-4400

NPI assigned

Apr 29, 2025

Last updated

Apr 29, 2025By 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

Enrolled in IN

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Center IncGroup PAC ID 6709795636, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northeastern Center Inc

  dba Northeastern Center

  • Community/Behavioral Health Agency
  • Kendallville, IN
  • NPI 1720140908
  Medicare reassignment Care Compare group NPD
• Northeastern Center, Inc

  dba Northeastern Center Inpatient

  • Psychiatric Hospital
  • Auburn, IN
  • NPI 1689781346
  NPD

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1932997079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467550817",
            "telephone_number": "260-347-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 DOWLING ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467559436",
            "telephone_number": "260-347-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULK",
        "first_name": "MELISSA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005442A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Noble School Corporation
• Deserae Elliott
• William Fenstermaker, RPH
• Rex A. Flenar, M.D.
• Miroslaw A Foltyniak, M.D.
• Nicholas L Fox, DO
• Shelby Frank
• Christopher P. Frazier, M.D.
• Jessica Gardner
• Genoa Healthcare LLC

• Mental Health Counselor in Kendallville, IN
• Providers in Kendallville, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.