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MELROSE MONA ELLAN MASK PSS
NPI 1871128215
Peer Specialist in Roseburg, OR

Active since March 05, 2020
621 W MADRONE ST, ROSEBURG, OR 97470(541) 672-2691 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2020, Mar 5, 2020 (2 updates tracked since 2020).

About Melrose Mona Ellan Mask Pss NPPES

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

MELROSE MONA ELLAN MASK PSS (NPI 1871128215) is an individual peer specialist in Roseburg, Oregon, licensed in Oregon (THW000004127) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1871128215
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMELROSE MONA ELLAN MASKCredential: PSS
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254
Phone(541) 672-2691
Sole ProprietorNo
Enumeration DateMarch 5, 2020
Last NPPES UpdateMay 18, 20202 updates tracked since enumeration
NPPES CertifiedMay 18, 2020
✔ NPI 1871128215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000004127
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
621 W MADRONE ST, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 20

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

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Melrose Mask's NPI number?

The NPI number for Melrose Mask is 1871128215. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Melrose Mask located?

Melrose Mask practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 672-2691.

What is Melrose Mask's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Melrose Mask was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.