MELISSA BUCKLEY
NPI 1093149452
Counselor - Mental Health in Dixon, IL

Q: What is Melissa Buckley's NPI number?

The NPI number for Melissa Buckley is 1093149452. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Q: What is Melissa Buckley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Buckley was last updated on January 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2013PECOS Enrolled

325 IL ROUTE 2, DIXON, IL 61021(815) 284-6611 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2023, Jan 27, 2023, Jan 3, 2023 and 1 more (4 updates tracked since 2022).

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About Melissa Buckley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA BUCKLEY (NPI 1093149452) is an individual mental health provider in Dixon, Illinois, licensed in Illinois (149.024911) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093149452

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMELISSA BUCKLEY

Location Address325 IL ROUTE 2Dixon, IL 61021-9118

Mailing Address311 W Park StMorrison, IL 61270-2319 · (815) 213-4389

Phone(815) 284-6611

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 21, 2013

Last NPPES UpdateJanuary 27, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2023

✔ NPI 1093149452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 149.024911

325 IL ROUTE 2, Dixon, IL 61021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Buckley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507238011

PECOS Enrollment IDI20230209002735

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT LOVUS DILLON II

Counselor (Mental Health)