Individual provider Active NPI

Maribel Melendez, MA

  • Addiction (Substance Use Disorder) Counselor
  • Chicopee, MA
National Provider Identifier
1982936258
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
22600 Issued in MA
Practice address
19 Ellen St Apt 1R
Chicopee, MA 01013-3061
Phone
(413) 363-3864
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2068 PR
Counseling Psychologist 103TC1900X 5493 PR
Addiction (Substance Use Disorder) Counselor 101YA0400X 22600 MA Primary

Addresses

Primary practice location

19 Ellen St Apt 1R
Chicopee, MA 01013-3061

Mailing address

19 Ellen St Apt 1R
Chicopee, MA 01013-3061
Phone (413) 363-3864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240227004200 MA Practitioner - Mental Health Counselor 3375988579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22600MAMDAddiction (Substance Use Disorder) Counselor
5493PRMDCounseling Psychologist
2068PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince Jan 15, 2024 Accepting new patients
Total Wellness Centers, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

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": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1982936258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ELLEN ST APT 1R",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133061",
            "telephone_number": "413-363-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ELLEN ST APT 1R",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010133061",
            "telephone_number": "413-363-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MARIBEL",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "2068",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5493",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "22600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.