MELISSA CHANCELLOR (NPI# 1083984637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083984637 |
| Entity Type | Individual |
| Full Name | MELISSA CHANCELLOR |
| Practice Address |
459 E 1st St Fond Du Lac WI 54935-4505 |
| Practice Telephone | 9209293568 |
| Practice Fax Number | 9209293129 |
| Mailing Telephone | 9209293568 |
| Mailing Fax Number | 9209293129 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 15413-132 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518183573 | Melissa Marie Chancellor | Physician Assistant | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2007-04-18 |
| Street Address |
459 E 1ST ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659358323 | Fond Du Lac County | Skilled Nursing Facility | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2005-12-23 |
| 1851999114 | Megan Moore | Physical Therapist | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2020-10-09 |
| 1215550397 | Kayla Pieper | Case Manager/Care Coordinator | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2020-05-22 |
| 1942832811 | Matthew Olig | Occupational Therapist | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2020-02-10 |
| 1609408681 | Emma K Felckowski | Occupational Therapy Assistant | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2020-02-07 |
| 1811533607 | Brittany Stark | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-11-27 |
| 1629613591 | Angela Brahm | Case Manager/Care Coordinator | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-11-14 |
| 1336790500 | Lynn Propson | Social Worker | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-09-27 |
| 1376199208 | Jaclyn Rose Hanson | Physical Therapy Assistant | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-08-15 |
| 1972165017 | Joseph Babiak | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312633 | Joshua Mckinney | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-27 |
| 1225668163 | Sara Aniceto | Counselor | 160 S Macy St, Fond Du Lac, WI 54935-4241 | 2020-01-20 |
| 1811533607 | Brittany Stark | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-11-27 |
| 1649630419 | Lindsey Mae Fergus-renken | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2016-03-07 |
| 1912362195 | Cecilia Marx | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2015-12-15 |
| 1386988293 | Jeffrey D Richardson | Counselor | 757 S Main St, Suite 8, Fond Du Lac, WI 54935-5739 | 2012-11-15 |
| 1285964163 | Paul R Clark | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2009-12-28 |
| 1669604138 | Melanie Foust | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2009-08-18 |
| 1407088347 | Mark Albert Koharchick | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2009-08-11 |
| 1841436805 | Leilani R Heraly | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2008-12-22 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.