MELISSA GULL LAC
NPI 1134693591
Counselor - Professional in Matawan, NJ
About Melissa Gull Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA GULL LAC (NPI 1134693591) is an individual professional provider in Matawan, New Jersey, licensed in New Jersey (37PC00743700) and active in the NPI registry since January 2019. She has opted out of Medicare through September 24, 2027.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Melissa Gull Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 24, 2025 through September 24, 2027.
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.
MATAWAN, NJ 07747
MATAWAN, NJ 07747
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 Gull's NPI number?
The NPI number for Melissa Gull is 1134693591. It was assigned to this individual provider in the NPPES registry on January 17, 2019.
Where is Melissa Gull located?
Melissa Gull practices at 166 Main St, Matawan, NJ 07747. The listed phone number is (732) 566-0433.
What is Melissa Gull's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Melissa Gull enrolled in Medicare?
No. Melissa Gull has opted out of Medicare through September 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Melissa Gull was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Melissa Gull, LAC · NPI 1134693591
Professional provider in Matawan, New Jersey. Individual provider, active in the CMS NPPES registry since January 17, 2019.
## Identity
- **NPI:** 1134693591 (Entity type: Individual)
- **Enumerated:** January 17, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00743700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 166 MAIN ST, Matawan, NJ 07747
- **Phone:** (732) 566-0433
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 24, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 12, 2026
- **Other identifiers:** Medicaid 37AC00378700 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1134693591) · Data from the CMS NPPES public registry.