MELISSA LIESER – Professional Counselor, NPI 1023822319

MELISSA LIESER is a healthcare provider. based in Palos park, Illinois. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MELISSA LIESER is 1023822319

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA LIESER
NPI
1023822319
Phone
Not provided
Address
12518 S 82ND AVE
Enumeration Date
5 February 2025
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303236380
Graduation Year
2015 (11 years ago)
PAC ID
0345761722
Group Practice PAC ID
4688039209
Professional Enrollment ID
I20250303001542
Address ID
IL605275548WI7050XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MELISSA LIESER

  • 12518 S 82ND AVE

    PALOS PARK, IL 604642012

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250303001542IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60464)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688039209View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What number should I use to identify MELISSA LIESER for billing?
Administrative and clinical systems typically use NPI 1023822319 for MELISSA LIESER.
Should I treat MELISSA LIESER as an active provider?
Patients and plans typically see MELISSA LIESER as active in the national extract.
What services align with MELISSA LIESER's listing?
MELISSA LIESER's public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to MELISSA LIESER?
The directory associates MELISSA LIESER with Palos Park, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains MELISSA LIESER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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