MELISSA TEELA – Mental Health Counselor, NPI 1619318672

MELISSA TEELA is a healthcare provider. based in Madison, Wisconsin. specializing in MARRIAGE AND FAMILY THERAPIST. The NPI Number for MELISSA TEELA is 1619318672

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA TEELA
NPI
1619318672
Phone
(608) 280-2700
Address
625 W WASHINGTON AVE
Enumeration Date
8 July 2013
Last Update Date
8 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082378000
Graduation Year
2014 (12 years ago)
PAC ID
5597206060
Group Practice PAC ID
4880660778
Professional Enrollment ID
I20240924003213
Address ID
WI535623486MI6300XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

247 MARRIAGE AND FAMILY THERAPIST in WI

Provider Addresses for MELISSA TEELA

  • 625 W WASHINGTON AVE

    MADISON, WI 537032637

    Phone: (608) 280-2700

    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: 2024-09-24

PECOS data refreshed: 2026-06-15

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
I20240924003213IMarriage And Family TherapistWITBD

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 53703)

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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: 4880660778View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Marriage And Family TherapistWI
Clinical PsychologistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
-WI

Reviews

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Frequently asked questions

What unique ID ties claims to MELISSA TEELA?
NPI 1619318672 is assigned to MELISSA TEELA under the national enumeration system.
Is MELISSA TEELA active in the national directory?
MELISSA TEELA's public NPI profile is in an active state.
What kind of provider is MELISSA TEELA?
The page reflects Mental Health Counselor for MELISSA TEELA. Clinical services aligned with this taxonomy classification.
What location shows for MELISSA TEELA?
We surface Madison, Wisconsin for MELISSA TEELA based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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