MELISSA BENEDICT
NPI 1184004632
Counselor in Detroit, MI

Q: What is Melissa Benedict's NPI number?

The NPI number for Melissa Benedict is 1184004632. It was assigned to this individual provider in the NPPES registry on May 30, 2015.

Q: What is Melissa Benedict's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Benedict was last updated on September 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 30, 2015PECOS EnrolledAccepts Medicare Assignment

79 W ALEXANDRINE ST, DETROIT, MI 48201(313) 831-5535(313) 831-2608 Get Directions Write a Review

NPPES record last updated: September 1, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Melissa Benedict NPPES

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

MELISSA BENEDICT (NPI 1184004632) is an individual counselor in Detroit, Michigan, licensed in Michigan (6401014710) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184004632

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMELISSA BENEDICT

Location Address79 W ALEXANDRINE STDetroit, MI 48201

Mailing Address17940 Farmington Rd. Suite 225Livonia, MI 48152 · (734) 221-0867 · Fax (248) 605-3525

Phone(313) 831-5535

Fax(313) 831-2608

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 30, 2015

Last NPPES UpdateSeptember 1, 2018

✔ NPI 1184004632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401014710

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401014710 (MI)

79 W ALEXANDRINE ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 179 W Alexandrine StDetroit, MI 48201-2015 · Phone (313) 831-5535 · Fax (313) 831-2608

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Benedict is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113438508

PECOS Enrollment IDI20250613000085

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 20

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

LEAH WELTON MSW

Social Worker (Clinical)