CAROLINE MELLON BS
NPI 1376348995
Counselor in Glendale, AZ

Active since February 18, 2025
17505 N 79TH AVE STE 105, GLENDALE, AZ 85308(602) 989-8899 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caroline Mellon Bs NPPES

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

CAROLINE MELLON BS (NPI 1376348995) is an individual counselor in Glendale, Arizona, licensed in Arizona (CSLG13230) and active in the NPI registry since February 2025. She maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1376348995
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCAROLINE MELLONCredential: BS
Location Address17505 N 79TH AVE STE 105Glendale, AZ 85308-8724
Mailing Address17505 N 79th Ave Ste 105Glendale, AZ 85308-8724 · (602) 989-8899
Sole ProprietorYes
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
NPI 1376348995 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 AZ · CSLG13230
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.
17505 N 79TH AVE STE 105, Glendale, AZ 85308

Secondary Practice Location 1

Location 123460 N 19th Ave Ste 220Phoenix, AZ 85027-2170 · Phone (602) 989-8899

Other Identifiers 5

Other1740851542AZ · January Hartze Individual Npi
Other1801623228AZ · Centerpointe Npi
Other1043982747AZ · Arrowhead Npi
Medicaid203827AZ
Medicaid180298AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308
Counselor
17505 N 79TH AVE STE 105
GLENDALE, AZ 85308

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 Caroline Mellon's NPI number?

The NPI number for Caroline Mellon is 1376348995. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Where is Caroline Mellon located?

Caroline Mellon practices at 17505 N 79th Ave Ste 105, Glendale, AZ 85308. The listed phone number is (602) 989-8899.

What is Caroline Mellon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Caroline Mellon was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.