MELISSA M KOKENGE – Mental Health Counselor, NPI 1275025405

MELISSA M KOKENGE is a healthcare provider. based in Newark, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C.1801081 (OH). The NPI Number for MELISSA M KOKENGE is 1275025405

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA M KOKENGE
NPI
1275025405
Phone
(614) 595-1371
Address
15 N 3rd St Ste 300
Enumeration Date
4 June 2018
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122523871
Graduation Year
2017 (9 years ago)
PAC ID
5597117721
Group Practice PAC ID
4688575251
Professional Enrollment ID
I20240123003663
Address ID
IA511011919SI625XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MELISSA M KOKENGE

  • 15 N 3rd St Ste 300

    Newark, OH 430555550

    Phone: (614) 595-1371

    Type: Location

  • 2112 Cherry Valley Rd

    Newark, OH 430551323

    Phone: (740) 755-4500

    Type: Location

  • 625 COURT ST

    SIOUX CITY, IA 511011919

    Phone: (712) 252-3871

    Fax: (877) 728-4419

    Type: Location

  • 7972, Friend Street, Columbus, Sharon, Ohio, 43235, United States

    COLUMBUS, OH 432356433

    Phone:

    Type: Mailing

  • North 3rd Street, Roseville, Newark, Essex County, New Jersey, 07107, United States

    NEWARK, OH 430555550

    Phone: (614) 595-1371

    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: 2024-01-23

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
I20240123003663IMental Health CounselorIATBD

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 43055)

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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: 4688575251View full group profile
NameSpecialtyState
Nurse PractitionerNE
Clinical Social WorkerIA
-IA
Clinical Social WorkerIA
Mental Health CounselorIA
Mental Health CounselorSD
Certified Clinical Nurse Specialist (Cns)IA
Mental Health CounselorNE
Clinical Social WorkerNE
-IA

Reviews

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Frequently asked questions

Is MELISSA M KOKENGE listed with a National Provider Identifier?
Yes — MELISSA M KOKENGE has NPI 1275025405 on file in the registry.
Is there an active status for MELISSA M KOKENGE?
For scheduling context, MELISSA M KOKENGE is shown as active in the registry.
What area of care is associated with MELISSA M KOKENGE?
MELISSA M KOKENGE's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MELISSA M KOKENGE located near Newark?
MELISSA M KOKENGE currently maps to Newark, Ohio in this extract.
Can I trust this NPI listing for MELISSA M KOKENGE?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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