Healthcare Provider Details

I. General information

NPI: 1548623739
Provider Name (Legal Business Name): MELISSA SKREPAK LMHC, NCC, PMH-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2916 HIGHWAY 71 STE 8
SPIRIT LAKE IA
51360-1153
US

IV. Provider business mailing address

2916 HIGHWAY 71 STE 8
SPIRIT LAKE IA
51360-1153
US

V. Phone/Fax

Practice location:
  • Phone: 712-298-1997
  • Fax:
Mailing address:
  • Phone: 712-298-1997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101619
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: