1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Counselor
  6. NPI Profile

MELISSA L FAGAN LMHC
NPI 1235210543
Counselor - Professional in Albuquerque, NM

Active since October 17, 2006PECOS Enrolled
3901 LOUISIANA BLVD NE STE C, ALBUQUERQUE, NM 87110(505) 888-1686(505) 888-1683 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 21, 2017, Dec 13, 2016 (2 updates tracked since 2016).

About Melissa L Fagan Lmhc NPPES

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

MELISSA L FAGAN LMHC (NPI 1235210543) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (0184771) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235210543
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELISSA L FAGANCredential: LMHC
Location Address3901 LOUISIANA BLVD NE STE CAlbuquerque, NM 87110-1448
Mailing Address3901 Louisiana Blvd Ne Ste CAlbuquerque, NM 87110-1448 · (505) 888-1686 · Fax (505) 888-1683
Phone(505) 888-1686
Fax(505) 888-1683
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 21, 20172 updates tracked since enumeration
✔ NPI 1235210543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · 0184771
3901 LOUISIANA BLVD NE STE C, Albuquerque, NM 87110
Open in Google Maps ↗

Other Identifiers 1

Medicaid64079775NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa L Fagan Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bosque Mental Health Associates, Inc.
0.8 mi
Counselor
5310 HOMESTEAD RD NE STE 300
Albuquerque, NM 87110
  • Reassigned Medicare billing, New Mexico enrollment
  • 21 clinicians in this Medicare group
NPI 1982733226 (505) 503-6838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MR. JAMES BRIAN REEVES M.A., L.P.C.C.
Counselor (Professional)
3901 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-1686
MRS. KIRSTIN STILLWELL M.A. LPCC
Counselor (Professional)
3901 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-1686
OLGA A EBALAROSA LCSW
Social Worker (Clinical)
3901 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-1686
MS. DEBORAH S LOSADA LMFT
Marriage & Family Therapist
3901 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-1686
LEE RYEN CASTELL LPCC
Counselor (Professional)
3901 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87110
Bernalillo County (505) 888-1686

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 Fagan's NPI number?

The NPI number for Melissa Fagan is 1235210543. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Melissa Fagan located?

Melissa Fagan practices at 3901 Louisiana Blvd NE Ste C, Albuquerque, NM 87110. The listed phone number is (505) 888-1686.

What is Melissa Fagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Melissa Fagan enrolled in Medicare?

Yes. Melissa Fagan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Fagan reassigns Medicare benefits to Bosque Mental Health Associates, Inc. (Albuquerque, NM). 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 Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Fagan was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.