Melissa Carini, MS, LPC , CSAC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

101 E Broadway # 2
Waukesha, WI 53186-5006

Phone

(262) 547-5567

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Melissa Kaufman Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Family Service Agency of Waukesha County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1568404671
  Medicare reassignment NPD
• Family Services of Waukesha

  • Community/Behavioral Health Agency
  • Waukesha, WI
  • NPI 1265677884
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1962814780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY FL 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864833",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY # 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865006",
            "telephone_number": "262-547-5567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 W Bluemound Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Elm Grove",
            "state": "WI",
            "postal_code": "531222650",
            "country_code": "US",
            "telephone_number": "262-785-9188 x26278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARINI",
        "first_name": "MELISSA",
        "credential": "MS, LPC , CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6115-125",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962814780",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KAUFMAN",
            "credential": "LPC, CSAC, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rylee R Capesius, PA
• Beethoven Carabacan, LAT, CSCS, BS, MS
• Cardio Sleep Solutions Wisconsin LLC
• Cardiology Associates of Waukesha, S.C.
• Cardiovascular Medicine of Waukesha, S.C.
• Constance Jean Carlson
• Mary Heather Carlson
• De'Siree R Carmichael
• Rebecca Carney, LPC
• Margaret Carolan, PT

• Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.