MEDICARE: MELISSA MARTIN LCPC

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	101YP2500X	Professional Counselor	178.012613	IL
2	101YP2500X	Professional Counselor	180.012812	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	094307603	OTHER	IL	GOLDEN RULE- A UNITED HEALTHCARE COMPANY

General Provider Information

NPI Number	:	1174032007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARTIN LCPC

Provider Business Mailing Address
First Line	:	1057 PONCA DR
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-1145
Country	:	US
Telephone Number	:	773-329-0636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2428 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2012
Country	:	US
Telephone Number	:	773-329-0636
Fax Number	:

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

Provider Enumeration Date	:	09/22/2017
Last Update Date	:	09/19/2024

Similar Medicare Providers

1831147164 — LAWRENCE M KAUFMAN M.D.
Practice Location Address:

2456 N WESTERN AVE
CHICAGO, IL
60647-2012

Practice Phone: 773-235-2020
Practice Fax: 773-235-2037

1063733400 — LAWRENCE M KAUFMAN, M.D., PH.D., SC
Practice Location Address:

2456 N WESTERN AVE
CHICAGO, IL
60647-2012

Practice Phone: 773-235-2020
Practice Fax: 773-235-2037

1285428334 — CALDWELL COUNSELING PLLC
Practice Location Address:

2012 W SHAKESPEARE AVE APT 3
CHICAGO, IL
60647-0252

Practice Phone: 901-378-2628
Practice Fax:

1215008313 — DR. PHILLIS I SHEPPARD PH.D., LCPC
Practice Location Address:

30 N MICHIGAN AVE , SUITE 2012
CHICAGO, IL
60602-3402

Practice Phone: 312-782-7144
Practice Fax: 773-279-7093

1790011146 — FERNANDO CINTA MD SC
Practice Location Address:

2012 S ASHLAND AVE
CHICAGO, IL
60608-2906

Practice Phone: 312-666-7533
Practice Fax: 312-666-6967

1972893162 — MERARI E FERNANDEZ CASTRO LCSW
Practice Location Address:

111 N. WABASH AVE. , SUITE 2012
CHICAGO, IL
60602

Practice Phone: 773-234-7246
Practice Fax:

Directions to “ MELISSA MARTIN LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.