MISS MELISSA DANE M.A.
NPI 1215331509
Counselor in Centralia, IL

Active since October 15, 2014PECOS EnrolledAccepts Medicare Assignment
904 E MARTIN LUTHER KING DR., CENTRALIA, IL 62801(618) 533-1391(618) 533-1200 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Melissa Dane M.a. NPPES

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

MISS MELISSA DANE M.A. (NPI 1215331509) is an individual counselor in Centralia, Illinois and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215331509
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMISS MELISSA DANECredential: M.A.
Location Address904 E MARTIN LUTHER KING DR.Centralia, IL 62801
Mailing AddressPo Box 231Irvington, IL 62848-0231 · (618) 533-1391 · Fax (618) 533-1200
Fax(618) 533-1200
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 15, 2014
NPI 1215331509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.

904 E MARTIN LUTHER KING DR., Centralia, IL 62801

Other Identifiers 1

Medicaid370915481007IL

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

Miss Melissa Dane M.a. 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 ID3476083676
PECOS Enrollment IDI20250203002879
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

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)
904 E MARTIN LUTHER KING DR.
CENTRALIA, IL 62801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215331509, enumerated as an "individual" on October 15, 2014.

The provider is located at 904 E MARTIN LUTHER KING DR. CENTRALIA, IL 62801 and the phone number is (618) 533-1391.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Melissa Dane is affiliated with: SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA.