MELISSA MACK LPCC
NPI 1235549577
Counselor in Lorain, OH

Q: What is Melissa Mack's NPI number?

The NPI number for Melissa Mack is 1235549577. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Q: What is Melissa Mack'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 Mack was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 07, 2014PECOS Enrolled

6140 S BROADWAY, LORAIN, OH 44053(440) 233-7232(440) 233-9070 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Melissa Mack Lpcc NPPES

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

MELISSA MACK LPCC (NPI 1235549577) is an individual counselor in Lorain, Ohio, licensed in Ohio (E 1100177) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235549577

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMELISSA MACKCredential: LPCC

Location Address6140 S BROADWAYLorain, OH 44053-3821

Mailing Address36425 Wendell StAvon, OH 44011-4412 · (440) 204-4228 · Fax (440) 233-9070

Phone(440) 233-7232

Fax(440) 233-9070

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMay 7, 2014

✔ NPI 1235549577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · E 1100177

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.

6140 S BROADWAY, Lorain, OH 44053

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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 Mack Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810462975

PECOS Enrollment IDI20260407001911

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.

MRS. JAMILLET TORRES

Case Manager/Care Coordinator