MELISSA LYNN PEDERSON MA,LADC
NPI 1154096378
Counselor - Addiction (Substance Use Disorder) in Duluth, MN

Q: What is Melissa Pederson's NPI number?

The NPI number for Melissa Pederson is 1154096378. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Q: What is Melissa Pederson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Pederson was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 10, 2021

4615 GRAND AVE STE 300, DULUTH, MN 55807(218) 282-2174(218) 600-5485 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Melissa Lynn Pederson Ma,ladc NPPES

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

MELISSA LYNN PEDERSON MA,LADC (NPI 1154096378) is an individual addiction (substance use disorder) provider in Duluth, Minnesota, licensed in Minnesota (305465) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1154096378

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMELISSA LYNN PEDERSONCredential: MA,LADC

Location Address4615 GRAND AVE STE 300Duluth, MN 55807-2749

Mailing AddressPo Box 233Knife River, MN 55609-0233 · (218) 282-2174

Phone(218) 282-2174

Fax(218) 600-5485

Sole ProprietorNo

Enumeration DateAugust 10, 2021

NPPES CertifiedAugust 10, 2021

✔ NPI 1154096378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 305465

4615 GRAND AVE STE 300, Duluth, MN 55807

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Other Providers at the Same Location NPPES 4

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

MS. ZOE MAUREEN TORGERSEN LPCC

Counselor (Professional)

4615 GRAND AVE STE 300
DULUTH, MN 55807

St. Louis County (218) 207-2130

JORDAN BROWN BS, LADC, MSW, LGSW

Counselor (Mental Health)

4615 GRAND AVE STE 300
DULUTH, MN 55807

St. Louis County (218) 215-2573

ASHLEY LYNN LOVOLD LICSW, LADC

Social Worker (Clinical)

4615 GRAND AVE STE 300
DULUTH, MN 55807

St. Louis County (612) 767-0300

LETISHA JOYCE RICE LADC

Counselor (Addiction (Substance Use Disorder))

4615 GRAND AVE STE 300
DULUTH, MN 55807

St. Louis County (218) 207-2130

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 Pederson's NPI number?

The NPI number for Melissa Pederson is 1154096378. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Melissa Pederson located?

Melissa Pederson practices at 4615 Grand Ave Ste 300, Duluth, MN 55807. The listed phone number is (218) 282-2174.

What is Melissa Pederson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Melissa Pederson was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.