MELISSA MARTIN (NPI# 1174032007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174032007 |
| Entity Type | Individual |
| Full Name | MELISSA MARTIN |
| Credential | LPC |
| Practice Address |
5 Revere Dr Ste 100 Northbrook IL 60062-1567 |
| Mailing Address |
5801 N Octavia Ave Chicago IL 60631-3066 |
| Practice Telephone | 8472916805 |
| Practice Fax Number | 8472916815 |
| Mailing Telephone | 7733290636 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.012613 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GOLDEN RULE- A UNITED HEALTHCARE COMPANY | 094307603 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821636770 | Melissa Martin | Speech-Language Pathologist | 1132 Greensward Dr, Tallahassee, FL 32312-6775 | 2019-12-11 |
| 1457817942 | Melissa Michelle Martin | Licensed Vocational Nurse | 13206 N County Road 3220, Idalou, TX 79329-6181 | 2019-02-20 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1265891097 | Melissa A Martin | Counselor | 318 E Mitchell St Ste 7, Petoskey, MI 49770-2616 | 2016-02-22 |
| 1992161244 | Melissa Diane Martin | Nurse Practitioner | 10050 Great Hills Trl, #1213, Austin, TX 78759-5938 | 2015-12-31 |
| 1346526688 | Melissa Dawn Martin | Respiratory Therapist, Certified | 13735 Willow Wind Dr, De Soto, MO 63020-4383 | 2011-11-01 |
| 1497064711 | Melissa Hall Martin | Occupational Therapist | 159 Tutty Loop, Houma, LA 70363-3839 | 2010-10-04 |
| 1326355256 | Melissa Kristen Martin | Occupational Therapist | 20 Raymond Ave, Cortland, NY 13045-3322 | 2010-09-14 |
| 1285873828 | Melissa Snodgrass Martin | Contractor | 8626 W Parker St, Richland, IN 47634-9030 | 2009-02-04 |
| 1598930034 | Melissa Root Martin | Dietitian, Registered | 10116 Rhapsody Dr, Baton Rouge, LA 70815-4840 | 2008-04-25 |
| Street Address |
5 REVERE DR STE 100 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312581 | Megan Renee Laviola | Social Worker | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2020-09-28 |
| 1770198178 | Regina Verhelst | Counselor | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2020-09-11 |
| 1386255891 | Lee Owen | Social Worker | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2020-08-10 |
| 1962052357 | Kimberly Kaplan | Counselor | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2019-09-17 |
| 1902455405 | Leah Marie Hovel | Counselor | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2019-09-06 |
| 1760049415 | Libby Micaela Moser | Dietitian, Registered | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2019-05-28 |
| 1578039996 | Alyson Haebig | Dietitian, Registered | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2018-10-24 |
| 1093298820 | Melissa Meador | Counselor | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2018-09-07 |
| 1952883282 | Samantha Acevedo | Social Worker | 5 Revere Dr Ste 100, Northbrook, IL 60062 | 2018-09-04 |
| 1114424512 | Sophie Roskin | Social Worker | 5 Revere Dr Ste 100, Northbrook, IL 60062-1567 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240410 | Maribeth Gomez Germino | Counselor | 4201 Lake Cook Rd, Northbrook, IL 60062-1060 | 2020-03-17 |
| 1295389948 | Alice Shierk-booth | Counselor | 3000 Dundee Rd Ste 311, Northbrook, IL 60062-2434 | 2019-07-31 |
| 1457853558 | Barbara Dianne Demetrius-lallas | Counselor | 1859 Penfold Pl, Northbrook, IL 60062-6034 | 2018-03-05 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1104360080 | Pamela Matos | Counselor | 3100 Dundee Rd Ste 101, Northbrook, IL 60062-2462 | 2016-12-12 |
| 1811374960 | Aaron Marsh | Counselor | 155 Revere Dr Ste 11, Northbrook, IL 60062-1558 | 2015-04-28 |
| 1811315526 | Tracy K Durkan | Counselor | 1535 Lake Cook Rd Ste 303, Northbrook, IL 60062-1452 | 2014-03-31 |
| 1780029652 | Jennifer Welbel | Counselor | 1500 Skokie Blvd Ste 305, Northbrook, IL 60062-4114 | 2013-05-06 |
| 1477852341 | Jane Ward Carlton | Counselor | 1363 Shermer Rd Ste 313, Northbrook, IL 60062-4575 | 2011-03-17 |
| 1033419536 | Matina Kourtis | Counselor | 617 Landwehr Rd, Northbrook, IL 60062 | 2010-10-30 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on MELISSA MARTIN.
| 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.