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CHRISTINA NOEL MELLENBERGER
NPI 1538633839
Counselor - Mental Health in Henderson, TN

Active since January 20, 2019PECOS Enrolled
512B DEER DR, HENDERSON, TN 38340(608) 558-4789 Get Directions Write a Review

NPPES record last updated: January 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christina Noel Mellenberger NPPES

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

CHRISTINA NOEL MELLENBERGER (NPI 1538633839) is an individual mental health provider in Henderson, Tennessee and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538633839
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTINA NOEL MELLENBERGER
Location Address512B DEER DRHenderson, TN 38340-7116
Mailing Address512b Deer DrHenderson, TN 38340-7116 · (608) 558-4789
Phone(608) 558-4789
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 20, 2019
✔ NPI 1538633839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
512B DEER DR, Henderson, TN 38340
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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)

Christina Noel Mellenberger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274006762
PECOS Enrollment IDI20260625003720
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 Christina Mellenberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surdy Psychological Services LLC
665 mi
Clinical
1227 CALEDONIA ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1225576127 (507) 388-8874

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 Christina Mellenberger's NPI number?

The NPI number for Christina Mellenberger is 1538633839. It was assigned to this individual provider in the NPPES registry on January 20, 2019.

Where is Christina Mellenberger located?

Christina Mellenberger practices at 512B Deer Dr, Henderson, TN 38340. The listed phone number is (608) 558-4789.

What is Christina Mellenberger's specialty?

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

Is Christina Mellenberger enrolled in Medicare?

Yes. Christina Mellenberger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christina Mellenberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Mellenberger reassigns Medicare benefits to Surdy Psychological Services LLC (Mankato, 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 Christina Mellenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christina Mellenberger accept?

Health plans from HealthPartners list Christina Mellenberger 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 Christina Mellenberger was last updated on January 20, 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.