MELISSA SUE FIVECOAT LPC CADC III NPI 1255421780

NPI Information

  • NPI: 1255421780
  • Provider Name: MELISSA SUE FIVECOAT, LPC, CADC III
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 375 NW BEAVER ST STE 101
    PRINEVILLE, OR
    ZIP 97754
  • Phone: (541) 447-0707

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NPI Details

Melissa Sue Fivecoat, LPC, CADC III is a professional counselor in Prineville, OR. Melissa Sue Fivecoat, LPC, CADC III NPI is 1255421780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

375 NW BEAVER ST STE 101
PRINEVILLE, OR
ZIP 97754-802
Phone: (541) 447-0707
Fax: (541) 416-2152

The NPI 1255421780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 11/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalC1959OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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