MELISSA PAVLIK LMFT
NPI 1659899904
Marriage & Family Therapist in Maple Grove, MN

Q: What is Melissa Pavlik's NPI number?

The NPI number for Melissa Pavlik is 1659899904. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Q: What is Melissa Pavlik's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Pavlik was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment

12918 63RD AVE N, MAPLE GROVE, MN 55369(763) 210-9966 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Melissa Pavlik Lmft NPPES

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

MELISSA PAVLIK LMFT (NPI 1659899904) is an individual marriage & family therapist in Maple Grove, Minnesota, licensed in Minnesota (2776) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1659899904

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMELISSA PAVLIKCredential: LMFT

Location Address12918 63RD AVE NMaple Grove, MN 55369-6001

Mailing Address12918 63rd Ave NMaple Grove, MN 55369-6001

Phone(763) 210-9966

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 7, 2017

Last NPPES UpdateJune 1, 2022

NPPES CertifiedJune 1, 2022

✔ NPI 1659899904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 2776

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

12918 63RD AVE N, Maple Grove, MN 55369

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Pavlik Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830534775

PECOS Enrollment IDI20240229004317

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.

Other Providers at the Same Location NPPES 12

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

ALYSHA KVAM

Counselor (Mental Health)