Erin Nichole Mellies – Professional Counselor

Key facts

NPI: 1972783405
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: LCPC03203 (KS)
Practice address: 535 Court St
Clay Center, KS 67432-2504
Phone: (785) 447-3871
NPI assigned: Nov 13, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Mellies Mental Wellness LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Clay Center, KS · NPI 1750034526

Medicare reassignment NPD KS
Tina Stillwell Lscsw, LLC Clinical Social Worker · Clay Center, KS · NPI 1750857967

NPD (past)

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2002
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services

Practice addresses (Care Compare)

2368 Eisenhower Dr
Clay Center, KS 67432-1538

805 5TH St
Clay Center, KS 67432-2502
Phone (785) 230-7616

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240125000383	KS	Practitioner - Mental Health Counselor	8325491434	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
LCAC00791	KS	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Specialty	Status	New patients
Mellies Mental Wellness LLC		Current since Dec 18, 2023	Accepting new patients
Tina Stillwell Lscsw, LLC		Past since Feb 1, 2022	Accepting new patients

Locations

805 5th St
Ste E
Clay Center, KS 67432

535 Court St
Clay Center, KS 67432
Phone (785) 447-3871

619 Court St
Clay Center, KS 67432
Phone (785) 630-5500

805 5th St
Clay Center, KS 67432
Phone (785) 230-7616

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	LCAC00791	KS
Professional Counselor	101YP2500X	LCPC03203	KS	Yes

Addresses

Primary practice location

535 Court St
Clay Center, KS 67432-2504

Mailing address

535 Court St
Clay Center, KS 67432-2504
Phone (785) 447-3871

Other names

Ms. Erin Nichole Enneking Former name

Other providers in Clay Center, KS

All providers in Clay Center, KS · Professional Counselor in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.