MEDICARE: MELISSA SCHELLENBERGER

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	3744-226	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285148049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SCHELLENBERGER

Provider Business Mailing Address
First Line	:	346 CLIFFORD AVE
Second Line	:
City	:	LOVES PARK
State	:	IL
Zip	:	61111-4566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1518 11TH ST STE 1-4
Second Line	:
City	:	MONROE
State	:	WI
Zip	:	53566-1701
Country	:	US
Telephone Number	:	608-325-1070
Fax Number	:	608-325-1170

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

Provider Enumeration Date	:	11/30/2017
Last Update Date	:	01/14/2025

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Directions to “ MELISSA SCHELLENBERGER ” Practice Location

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