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MELISSA FJELSTAD LADC, LPCC
NPI 1245883073
Counselor - Mental Health in Wayzata, MN

Active since July 21, 2019PECOS Enrolled
3701 SHORELINE DR STE 102, WAYZATA, MN 55391(952) 314-7533 Get Directions Write a Review

NPPES record last updated: July 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Fjelstad Ladc, Lpcc NPPES

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

MELISSA FJELSTAD LADC, LPCC (NPI 1245883073) is an individual mental health provider in Wayzata, Minnesota, licensed in Minnesota (CC02058) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245883073
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA FJELSTADCredential: LADC, LPCC
Location Address3701 SHORELINE DR STE 102Wayzata, MN 55391-9591
Mailing Address1075 Meadow StCologne, MN 55322-9098 · (218) 290-0225
Phone(952) 314-7533
Sole ProprietorYes
Enumeration DateJuly 21, 2019
✔ NPI 1245883073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC02058
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304619 (MN)
3701 SHORELINE DR STE 102, Wayzata, MN 55391
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Fjelstad Ladc, Lpcc 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 Reassignments

2

Medicare enrollment records show Melissa Fjelstad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeshore Family Therapy LLC
Same address
Marriage & Family Therapist
3701 SHORELINE DR STE 102A
Wayzata, MN 55391
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1699179994 (651) 231-7471
Crescent Moon Counseling
201 mi
Clinical
9708 HIGHWAY 22
Angora, MN 55703
  • Reassigned Medicare billing, Minnesota enrollment
  • 7 clinicians in this Medicare group
NPI 1881328482 (610) 507-0051

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

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

DIANE MARY LARSON
Counselor (Mental Health)
3701 SHORELINE DR STE 102
WAYZATA, MN 55391
Hennepin County (952) 314-7533

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 Fjelstad's NPI number?

The NPI number for Melissa Fjelstad is 1245883073. It was assigned to this individual provider in the NPPES registry on July 21, 2019.

Where is Melissa Fjelstad located?

Melissa Fjelstad practices at 3701 Shoreline Dr Ste 102, Wayzata, MN 55391. The listed phone number is (952) 314-7533.

What is Melissa Fjelstad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Melissa Fjelstad enrolled in Medicare?

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

Which organizations bill Medicare for Melissa Fjelstad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Fjelstad reassigns Medicare benefits to 2 organizations: Lakeshore Family Therapy LLC (Wayzata, MN) and Crescent Moon Counseling (Angora, MN). Each 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 Fjelstad'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 Fjelstad was last updated on July 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.