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MELISSA HOLMAN LCGC
NPI 1104207919
Genetic Counselor, MS in South Bend, IN

Active since June 17, 2015
615 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-1100(574) 647-5907 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2017, Sep 1, 2016 (2 updates tracked since 2016).

About Melissa Holman Lcgc NPPES

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

MELISSA HOLMAN LCGC (NPI 1104207919) is an individual genetic counselor, ms provider in South Bend, Indiana, licensed in Indiana (99067670A) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1104207919
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameMELISSA HOLMANCredential: LCGC
Location Address615 N MICHIGAN STSouth Bend, IN 46601-1033
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Phone(574) 647-1100
Fax(574) 647-5907
Sole ProprietorNo
Enumeration DateJune 17, 2015
Last NPPES UpdateDecember 19, 20172 updates tracked since enumeration
✔ NPI 1104207919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License✔ Licensed in IN · 99067670A
Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

615 N MICHIGAN ST, South Bend, IN 46601
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Other Identifiers 1

Medicaid300009077IN

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.

AARON MICHAEL MOJICA CRNA
Nurse Anesthetist, Certified Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 612-2476
RACHEL ANN JENNINGS NP
Nurse Practitioner
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
DR. GEVORG MARTIROSYAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3119
BRANDON WELLER MD
Ophthalmology
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
MELINDA DEUBNER PHARMD
Pharmacist (Critical Care)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6302
MELISSA MARIE GLASER RN
Registered Nurse (Case Management)
615 N MICHIGAN ST, MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2173
MRS. NANCY ANN TAGHON RD
Dietitian, Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6351
DR. NICHOLAS HAROLD KERR DO
Family Medicine (Hospice and Palliative Medicine)
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Holman's NPI number?

The NPI number for Melissa Holman is 1104207919. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Melissa Holman located?

Melissa Holman practices at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-1100.

What is Melissa Holman's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Melissa Holman was last updated on December 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.