MELISSA M. STEPHAN (NPI# 1689123374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689123374 |
| Entity Type | Individual |
| Full Name | MELISSA M. STEPHAN |
| Other Name | MELISSA M KING |
| Credential | MS |
| Practice Address |
788 W Connexion Way Columbia City IN 46725-1046 |
| Mailing Address |
909 E State Blvd Fort Wayne IN 46805-3458 |
| Practice Telephone | 2604812700 |
| Mailing Telephone | 2604829125 |
| Mailing Fax Number | 2604812838 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1909 Carew St, Fort Wayne, IN 468054707 | 2604812800 | |
| 2100 Goshen Rd, Fort Wayne, IN 468081493 | 2604713500 | 2604714263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740604040 | Melissa Stephan | Social Worker | 400 Johnson St, Alpena, MI 49707-1434 | 2014-02-07 |
| Street Address |
788 W CONNEXION WAY |
| City | COLUMBIA CITY |
| State | IN |
| Zip Code | 46725-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266917 | Nathan Elliot Patterson | Dentist | 788 W Connexion Way, Suite A, Columbia City, IN 46725-1037 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858652 | Brittany R Ianucilli | Behavior Technician | 1200 W Depoy Dr, Columbia City, IN 46725 | 2018-07-23 |
| 1467908012 | Andrew Ott, LLC | Community/Behavioral Health | 402 N. Washington St., Columbia City, IN 46725 | 2016-09-01 |
| 1972983641 | Chelsey Caldwell | Pediatrics | 1270 E State Road 205 Ste 230, Columbia City, IN 46725 | 2015-06-08 |
| 1861805541 | Piotr Swiatkowski | Physical Therapist | 1260 East State Road 205, Columbia City, IN 46725 | 2014-06-10 |
| 1952644080 | Yvonka L Lower | Respite Care | 2714e700s, Columbiacity, IN 46725 | 2013-03-27 |
| 1508125873 | Mary Margaret Cyrus | Massage Therapist | 3880 E Cider Mill Rd, Columbia City, IN 46725 | 2012-05-08 |
| 1831473834 | Abigail R West | Occupational Therapy Assistant | 612 N Washington St, Columbia City, IN 46725 | 2011-10-10 |
| 1033367123 | Amy K Sadler | Family Medicine | 1270 E S.r. 205, Suite 240, Columbia City, IN 46725 | 2008-09-03 |
| 1366590937 | Rebecca Leigh Corpuz | Physician Assistant | 885 Connexion Way, Suite 200, Columbia City, IN 46725 | 2007-01-08 |
| 1902919582 | Bart Andrew Benzinger | Optometrist | 402 W. Plaza Dr, Wal-mart Vision Center, Columbia City, IN 46725 | 2006-08-16 |
| Find all providers in zip 46725 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677601 | Alan J Christenberry | Counselor | 119 W Market St, Columbia City, IN 46725-2311 | 2005-05-23 |
| 1447861729 | Joseph Hoffman | Counselor | 360 N Oak St, Columbia City, IN 46725-1608 | 2020-08-11 |
| 1669095667 | Brendon James Lengacher | Counselor | 360 N Oak St, Columbia City, IN 46725-1608 | 2020-05-26 |
| 1013578806 | Brett Isaac Robbins | Counselor | 360 N Oak St, Columbia City, IN 46725-1608 | 2019-06-24 |
| 1558920702 | Jamie M. Briscoe | Counselor | 360 N Oak St, Columbia City, IN 46725-1608 | 2019-06-11 |
| 1538622659 | Dawn M Harvey | Counselor | 119 W Market St, Columbia City, IN 46725-2311 | 2019-04-08 |
| 1265994198 | Lori Stokes | Counselor | 360 N Oak St, Columbia City, IN 46725-1608 | 2019-04-01 |
| 1063977833 | Amber M. Hiss | Counselor | 119 W Market St, Columbia City, IN 46725-2311 | 2019-02-06 |
| 1467921999 | David Lee Hestand IIi | Counselor | 360 N Oak St, Columbia City, IN 46725-1608 | 2018-11-14 |
| 1811478902 | Cherise Brookes | Counselor | 119 W Market St, Columbia City, IN 46725-2311 | 2018-08-27 |
| Find all providers in COLUMBIA CITY | ||||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
Please comment or provide details below to improve the information on MELISSA M. STEPHAN.
| 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.