MEDICARE: DR. DANIEL ELLISON MELIN DMIN, MDIV, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	205861	TX
2	101YM0800X	Mental Health Counselor	205861	CA

General Provider Information

NPI Number	:	1144018854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ELLISON MELIN DMIN, MDIV, LMFT

Provider Business Mailing Address
First Line	:	336 FITCH AVE
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-6909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	336 FITCH AVE
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-6909
Country	:	US
Telephone Number	:	831-243-2058
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/15/2026

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