MR. NICHOLAS J MELVILLE LLPC
NPI 1154094605
Counselor - Professional in Jenison, MI
About Mr. Nicholas J Melville Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NICHOLAS J MELVILLE LLPC (NPI 1154094605) is an individual professional provider in Jenison, Michigan, licensed in Michigan (6451019552) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Nicholas J Melville Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Melville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grandville, MI 49418
- Reassigned Medicare billing, Michigan enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicholas Melville's NPI number?
The NPI number for Nicholas Melville is 1154094605. It was assigned to this individual provider in the NPPES registry on July 30, 2021.
Where is Nicholas Melville located?
Nicholas Melville practices at 1360 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 202-1910.
What is Nicholas Melville's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nicholas Melville enrolled in Medicare?
Yes. Nicholas Melville is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicholas Melville's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Melville reassigns Medicare benefits to Great Lakes Wellness Counseling LLC (Grandville, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Melville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Melville accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Nicholas Melville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicholas Melville was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mr. Nicholas J Melville, LLPC · NPI 1154094605
Professional provider in Jenison, Michigan. Individual provider, active in the CMS NPPES registry since July 30, 2021.
## Identity
- **NPI:** 1154094605 (Entity type: Individual)
- **Enumerated:** July 30, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6451019552 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1360 BALDWIN ST, Jenison, MI 49428-8937
- **Phone:** (616) 202-1910
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Great Lakes Wellness Counseling LLC (NPI 1437651916, Grandville, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** July 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154094605) · Data from the CMS NPPES public registry.