Individual provider Active NPI

Melissa Fowler, BA, CT

  • Counselor
  • Sandusky, OH
National Provider Identifier
1972934701
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1218 Cleveland Rd
Sandusky, OH 44870-4200
Phone
(419) 626-9156
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1218 Cleveland Rd
Sandusky, OH 44870-4200

Mailing address

1218 Cleveland Rd
Sandusky, OH 44870-4200
Phone (419) 626-9156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240116000774 OH Practitioner - Mental Health Counselor 3779935788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bayshore Counseling Services IncGroup PAC ID 7315903853, 3 clinicians

Practice addresses (Care Compare)

1634 Sycamore Line
Sandusky, OH 44870-4132
Phone (419) 626-9256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Counseling Services, Inc. CurrentSince Jan 3, 2024 Accepting new patients
Bayshore Counseling Services, Inc. PastSince Jan 3, 2024 Accepting new patients

Locations

1634 Sycamore Line
Sandusky, OH 44870
Phone (419) 626-9156

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.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1972934701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 CLEVELAND RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704200",
            "telephone_number": "419-626-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 CLEVELAND RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704200",
            "telephone_number": "419-626-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "BA, CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.