RYANNE MELLICK LPCC
NPI 1760105373
Counselor - Mental Health in Minneapolis, MN

Active since September 20, 2022PECOS Enrolled
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408(612) 293-9192 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ryanne Mellick Lpcc NPPES

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

RYANNE MELLICK LPCC (NPI 1760105373) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760105373
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRYANNE MELLICKCredential: LPCC
Location Address3133 HENNEPIN AVEMinneapolis, MN 55408-2620
Mailing Address3133 Hennepin AveMinneapolis, MN 55408-2620 · (612) 293-9192
Sole ProprietorYes
Enumeration DateSeptember 20, 2022
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1760105373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3133 HENNEPIN AVE, Minneapolis, MN 55408

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryanne Mellick Lpcc 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 Ryanne Mellick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group

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

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.

Psychologist (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Counselor (Professional)
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Social Worker (Clinical)
3133 HENNEPIN AVE, SUITE TWO
MINNEAPOLIS, MN 55408
Marriage & Family Therapist
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408

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 Ryanne Mellick's NPI number?

The NPI number for Ryanne Mellick is 1760105373. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Ryanne Mellick located?

Ryanne Mellick practices at 3133 Hennepin Ave, Minneapolis, MN 55408. The listed phone number is (612) 293-9192.

What is Ryanne Mellick's specialty?

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

Is Ryanne Mellick enrolled in Medicare?

Yes. Ryanne Mellick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryanne Mellick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryanne Mellick reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, 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 Ryanne Mellick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryanne Mellick accept?

Health plans from HealthPartners and Medica list Ryanne Mellick 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 Ryanne Mellick was last updated on October 24, 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.