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

Active since October 12, 2021PECOS Enrolled
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: August 02, 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
Phone(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
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Other Names 1

Former Name (1)Melissa Jean Mart

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Jean Banther is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 8 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.