MELISSA JEAN BANTHER
NPI 1225790694
Marriage & Family Therapist in Bloomfield, IN

Active since October 12, 2021PECOS EnrolledAccepts Medicare Assignment
10084 E STATE ROAD 54, BLOOMFIELD, IN 47424(507) 703-3512 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2025, Oct 12, 2021 (2 updates tracked since 2021).

About Melissa Jean Banther NPPES

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

MELISSA JEAN BANTHER (NPI 1225790694) is an individual marriage & family therapist in Bloomfield, Indiana, licensed in Minnesota (4573) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225790694
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMELISSA JEAN BANTHER
Location Address10084 E STATE ROAD 54Bloomfield, IN 47424-6063
Mailing Address10084 E State Road 54Bloomfield, IN 47424-6063 · (507) 703-3512
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 12, 2021
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1225790694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 4573
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10084 E STATE ROAD 54, Bloomfield, IN 47424

Other Names 1

Former Name (1)Melissa Jean Mart

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Jean Banther 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 ID6406323534
PECOS Enrollment IDI20260427001925
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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Banther reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
504 N WALNUT ST
Seymour, IN 47274
  • Reassigned Medicare billing, Indiana enrollment
  • 3 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.

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 Banther's NPI number?

The NPI number for Melissa Banther is 1225790694. It was assigned to this individual provider in the NPPES registry on October 12, 2021. The provider is also known as Melissa Jean Mart.

Where is Melissa Banther located?

Melissa Banther practices at 10084 E State Road 54, Bloomfield, IN 47424. The listed phone number is (507) 703-3512.

What is Melissa Banther's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Melissa Banther enrolled in Medicare?

Yes. Melissa Banther is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Melissa Banther's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Banther reassigns Medicare benefits to Concordia Counseling: A Lutheran Outreach Ministry, Inc. (Seymour, IN). 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 Melissa Banther's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Banther accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Melissa Banther 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 Melissa Banther was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.