Individual provider Active NPI

Melissa Coughlin, LISW

  • Clinical Social Worker
  • Highland Hills, OH
National Provider Identifier
1992287031
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S1700170 Issued in OH
Practice address
4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone
(216) 292-9700
Fax
(216) 378-4613
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S1700170 OH Primary

Addresses

Primary practice location

4255 Northfield Rd
Highland Hills, OH 44128-2811

Mailing address

4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone (216) 292-9700

Other practice location 1

24211 Center Ridge Rd
Westlake, OH 44145-4211
Phone (440) 250-2520

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
I20220803001105 OH Practitioner - Clinical Social Worker 6406238781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabriel Group Counseling LLCGroup PAC ID 1759671589, 8 clinicians

Practice addresses (Care Compare)

16600 W Sprague Rd
Suite 245
Cleveland, OH 44130-6319
Phone (440) 523-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1700170OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Telebehavioral Health US Clinical CurrentSince Mar 13, 2025 Accepting new patients
Gabriel Group Counseling, LLC CurrentSince Feb 1, 2025 Accepting new patients
Achievement Centers for Children Social Worker Past Accepting new patients
Achievement Centers for Children Clinical Past Accepting new patients
Carla Miller Ma MSW Clinical PastSince Mar 13, 2025 Accepting new patients

Locations

6220 Belmont Ave NE
Unit 26
Belmont, MI 49306

16600 W Sprague Rd
Ste 245
Middleburg Heights, OH 44130
Phone (440) 523-0370

6545 Market Ave N
Ste 100
North Canton, OH 44721
Phone (216) 282-4749

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1992287031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700",
            "fax_number": "216-378-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700",
            "fax_number": "216-378-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24211 Center Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441454211",
            "country_code": "US",
            "telephone_number": "440-250-2520",
            "fax_number": "440-250-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "MELISSA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1700170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Hills, OH

Sources for this page

Verify at the official NPI Registry.