Healthcare Provider Details

I. General information

NPI: 1447695069
Provider Name (Legal Business Name): MELANIE R PIGNOTTI LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELANIE R LITTON

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 PEREGRINE WAY
ELGIN IL
60124-7880
US

IV. Provider business mailing address

3702 PEREGRINE WAY
ELGIN IL
60124-7880
US

V. Phone/Fax

Practice location:
  • Phone: 904-610-5181
  • Fax:
Mailing address:
  • Phone: 904-610-5181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.012957
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: