MELISSA LAKE L.P.C.
NPI 1881047256
Counselor - Professional in Indiana, PA
About Melissa Lake L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA LAKE L.P.C. (NPI 1881047256) is an individual professional provider in Indiana, Pennsylvania, licensed in Pennsylvania (PC009052) and active in the NPI registry since July 2016. She has opted out of Medicare through March 2, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Melissa Lake L.p.c. 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 March 2, 2026 through March 2, 2028.
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.
INDIANA, PA 15701
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 Lake's NPI number?
The NPI number for Melissa Lake is 1881047256. It was assigned to this individual provider in the NPPES registry on July 20, 2016.
Where is Melissa Lake located?
Melissa Lake practices at 647 Philadelphia St Suite 403, Indiana, PA 15701. The listed phone number is (724) 427-5453.
What is Melissa Lake's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Melissa Lake enrolled in Medicare?
No. Melissa Lake has opted out of Medicare through March 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Melissa Lake was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Melissa Lake, L.P.C. · NPI 1881047256
Professional provider in Indiana, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 20, 2016.
## Identity
- **NPI:** 1881047256 (Entity type: Individual)
- **Enumerated:** July 20, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC009052 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 647 PHILADELPHIA ST, SUITE 403, Indiana, PA 15701-3923
- **Phone:** (724) 427-5453
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 2, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1881047256) · Data from the CMS NPPES public registry.