Melissa Palumbo, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC014689 Issued in PA

Practice address

2070 Palmer Ave
Bristol, PA 19007-4502

Phone

(267) 566-4472

NPI assigned

Nov 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1992412472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 PALMER AVE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074502",
            "telephone_number": "267-566-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 PALMER AVE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074502",
            "telephone_number": "267-566-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PC014689",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "googlemeet.com",
            "affiliation": "N",
            "endpointDescription": "virtual appointments",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA- virtual database",
            "address_1": "2070 Palmer Ave",
            "city": "Bristol",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190074502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Danielle Osborne, COTA/L
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• Courtney Palmer
• Pam Rothman LPC LLC
• John Johghyun Park, MD
• Martin A Pasqualone, MD
• Aakash Rashmin Patel, PHARMD.
• Dhrushi Zanishkumar Patel, MD

• Mental Health Counselor in Bristol, PA
• Providers in Bristol, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.