MELISSA KANE – Professional Counselor, NPI 1609538628

MELISSA KANE is a healthcare provider. based in Circle pines, Minnesota. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for MELISSA KANE is 1609538628

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA KANE
NPI
1609538628
Phone
(612) 669-3881
Address
8927 SYNDICATE AVE APT 329
Enumeration Date
7 October 2021
Last Update Date
23 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122238898
Graduation Year
2019 (7 years ago)
PAC ID
4587007216
Group Practice PAC ID
7517181266
Professional Enrollment ID
I20240208004093
Address ID
MN554261623MI7601XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for MELISSA KANE

  • 8927 SYNDICATE AVE APT 329

    CIRCLE PINES, MN 550143783

    Phone: (612) 669-3881

    Type: Mailing

  • 7601 WAYZATA BLVD

    ST LOUIS PARK, MN 554261623

    Phone: (612) 286-0857

    Type: Location

  • 28897 GLADER BLVD

    LINDSTROM, MN 550459030

    Phone: (612) 669-3881

    Type: Mailing

  • 1246 UNIVERSITY AVE W

    SAINT PAUL, MN 551044125

    Phone: (612) 286-0857

    Type: Location

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: 2024-02-08

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
I20240208004093IMental Health CounselorMNTBD

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 55014)

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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: 7517181266View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

What NPI should I save for MELISSA KANE?
Save NPI 1609538628 if you need a stable reference for MELISSA KANE.
Does this profile mean MELISSA KANE is currently active?
Yes — MELISSA KANE appears active in the national provider directory.
What kind of provider is MELISSA KANE?
The page reflects Professional Counselor for MELISSA KANE. Clinical services aligned with this taxonomy classification.
What location shows for MELISSA KANE?
We surface Circle Pines, Minnesota for MELISSA KANE based on available NPPES addresses.
What if Circle Pines, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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