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: August 16, 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
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

Other Identifiers 3

Medicaid221928100MN
Other09B85MEMN · Bcbs Of Mn
OtherHP88034MN · Health Partners

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

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.