MR. NICHOLAS J MELVILLE LLPC
NPI 1154094605
Counselor - Professional in Jenison, MI

Active since July 30, 2021PECOS Enrolled
1360 BALDWIN ST, JENISON, MI 49428(616) 202-1910 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1154094605
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. NICHOLAS J MELVILLECredential: LLPC
Location Address1360 BALDWIN STJenison, MI 49428-8937
Mailing Address6568 W Mill Run SeCaledonia, MI 49316-7861 · (616) 633-0269
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 30, 2021
NPPES CertifiedJuly 30, 2021
NPI 1154094605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6451019552
1360 BALDWIN ST, Jenison, MI 49428

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Nicholas J Melville Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062996465
PECOS Enrollment IDI20260324002788
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

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

Counselor (Mental Health)
1360 BALDWIN ST
JENISON, MI 49428

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.

When was this NPI record last updated?

The NPPES record for Nicholas Melville was last updated on July 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.