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MS. AMY ELIZABETH MELLUM LICSW
NPI 1285817528
Counselor - Mental Health in St. Paul, MN

Active since December 10, 2007PECOS Enrolled
311 RAMSEY ST., SUITE 205, ST. PAUL, MN 55102(651) 262-9726(651) 294-2347 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Amy Elizabeth Mellum Licsw NPPES

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

MS. AMY ELIZABETH MELLUM LICSW (NPI 1285817528) is an individual mental health provider in St. Paul, Minnesota, licensed in Minnesota (17145) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1285817528
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. AMY ELIZABETH MELLUMCredential: LICSW
Location Address311 RAMSEY ST., SUITE 205St. Paul, MN 55102
Mailing Address1137 Seminary Ave.St. Paul, MN 55104 · (651) 262-9726 · Fax (651) 294-2347
Phone(651) 262-9726
Fax(651) 294-2347
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 10, 2007
Last NPPES UpdateMarch 28, 2012
✔ NPI 1285817528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 17145
311 RAMSEY ST., SUITE 205, St. Paul, MN 55102
Open in Google Maps ↗

Other Identifiers 3

Medicaid221928100MN
Other09B85MEMN · Bcbs Of Mn
OtherHP88034MN · Health Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amy Elizabeth Mellum Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476632464
PECOS Enrollment IDI20080501000545
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 Amy Mellum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lyn-Lake Psychotherapy And Wellness Ltd.
8.6 mi
Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group
NPI 1609355163 (612) 979-2276

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 Amy Mellum's NPI number?

The NPI number for Amy Mellum is 1285817528. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Amy Mellum located?

Amy Mellum practices at 311 Ramsey St., Suite 205, St. Paul, MN 55102. The listed phone number is (651) 262-9726.

What is Amy Mellum's specialty?

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

Is Amy Mellum enrolled in Medicare?

Yes. Amy Mellum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Mellum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Mellum reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN). 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 Amy Mellum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Mellum accept?

Health plans from HealthPartners list Amy Mellum 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 Amy Mellum was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.