Mellissa L Hill, MS, LAC
Counselor, Professional in Mesa, AZ. Individual provider (NPI-1).
NPI number1932804697
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1932804697
- Entity type
- Individual (NPI-1)
- Name
- Mellissa L Hill
- Credential
- MS, LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LAC-20804 | AZ | Yes |
Practice location
4864 E Baseline Rd Ste 106Mesa, AZ 85206-4629
Phone 208-761-4054
Mailing address
4864 E Baseline Rd Ste 106Mesa, AZ 85206-4629
Phone 208-761-4054
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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