LISA MELLACE LMHC
NPI 1568834562
Counselor - Mental Health in Hanover, MA

Active since October 29, 2015Opted out of Medicare · through Jun 13, 2028
1112 WASHINGTON ST, HANOVER, MA 02339(781) 678-8020 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 13, 2024, Jun 13, 2023, Aug 20, 2018 and 1 more (4 updates tracked since 2018).

About Lisa Mellace Lmhc NPPES

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

LISA MELLACE LMHC (NPI 1568834562) is an individual mental health provider in Hanover, Massachusetts, licensed in Massachusetts (10628) and active in the NPI registry since October 2015. She has opted out of Medicare through June 13, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568834562
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MELLACECredential: LMHC
Location Address1112 WASHINGTON STHanover, MA 02339-1675
Mailing Address306 Washington St Ste 1Norwell, MA 02061-1766 · (781) 429-7755
Sole ProprietorYes
Enumeration DateOctober 29, 2015
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1568834562 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 MA · 10628
1112 WASHINGTON ST, Hanover, MA 02339

Secondary Practice Locations 2

Location 1400 Washington St Ste 106Braintree, MA 02184 · Phone (781) 817-6675 ext. 474 · Fax (781) 817-6745
Location 21120 Hancock StQuincy, MA 02169-4313 · Phone (617) 471-8400

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Mellace Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 13, 2024 through June 13, 2028.

Opt-Out Effective DateJune 13, 2024
Opt-Out In Effect ThroughJune 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
1112 WASHINGTON ST
HANOVER, MA 02339
Behavior Analyst
1112 WASHINGTON ST
HANOVER, MA 02339
Counselor (Mental Health)
1112 WASHINGTON ST
HANOVER, MA 02339
Audiologist
1112 WASHINGTON ST
HANOVER, MA 02339

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 Lisa Mellace's NPI number?

The NPI number for Lisa Mellace is 1568834562. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Lisa Mellace located?

Lisa Mellace practices at 1112 Washington St, Hanover, MA 02339. The listed phone number is (781) 678-8020.

What is Lisa Mellace's specialty?

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

Is Lisa Mellace enrolled in Medicare?

No. Lisa Mellace has opted out of Medicare through June 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lisa Mellace accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Lisa Mellace 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 Lisa Mellace was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.