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MELISSA CARTER LISW
NPI 1659185965
Social Worker - Clinical in Waterloo, IA

Active since February 05, 2025PECOS Enrolled
302 BROADWAY ST, WATERLOO, IA 50703(319) 505-8188 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Carter Lisw NPPES

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

MELISSA CARTER LISW (NPI 1659185965) is an individual clinical provider in Waterloo, Iowa, licensed in Iowa (107775) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659185965
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA CARTERCredential: LISW
Location Address302 BROADWAY STWaterloo, IA 50703-5804
Mailing Address2002 City View StWaterloo, IA 50707-2308 · (319) 830-3004
Phone(319) 505-8188
Sole ProprietorYes
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1659185965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 107775
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
302 BROADWAY ST, Waterloo, IA 50703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Carter Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Melissa Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carter Coaching, Counseling, & Consulting LLC
Same address
Clinical
302 BROADWAY ST
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
NPI 1316745375 (319) 505-8188

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CARTER COACHING, COUNSELING, & CONSULTING LLC
Social Worker (Clinical)
302 BROADWAY ST
WATERLOO, IA 50703
Black Hawk County (319) 505-8188
MONA EVELYN KRUGGER IADC, LISW
Social Worker (Clinical)
302 BROADWAY ST
WATERLOO, IA 50703
Black Hawk County (319) 448-0004

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 Melissa Carter's NPI number?

The NPI number for Melissa Carter is 1659185965. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Melissa Carter located?

Melissa Carter practices at 302 Broadway St, Waterloo, IA 50703. The listed phone number is (319) 505-8188.

What is Melissa Carter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Carter enrolled in Medicare?

Yes. Melissa Carter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Carter reassigns Medicare benefits to Carter Coaching, Counseling, & Consulting LLC (Waterloo, IA). 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 Melissa Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Carter accept?

Health plans from Oscar Health, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Melissa Carter 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 Melissa Carter was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.