Active NPIIndividual provider

Micaela Mellow, LPCA

Counselor, Mental Health in Portland, Connecticut

NPI Number1679422364
Practice location
90 Appletree Ln, Portland, CT 06480-1072
Fax
—
Last updated
July 9, 2026

Micaela Mellow is a Counselor, Mental Health based in Portland, CT. Micaela Mellow practices in Portland, CT and has the professional credentials of LPCA. The NPI Number for Micaela Mellow is 1679422364 and holds a License No. 9329 (CT). The current practice location address for Micaela Mellow is 90 Appletree Ln, Portland, CT 06480-1072 and can be reached out via phone at 860-294-4953.

Provider Profile Details

NPI Number
1679422364
Provider Name
Micaela Mellow
Credential
LPCA
Provider Entity Type
Individual
Gender
Female
Address
90 Appletree Ln, Portland, CT 06480-1072
Phone Number
860-294-4953
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Micah Mellow, LPCA (Other Name)
Provider Enumeration Date
January 26, 2026
Last Update Date
July 9, 2026
Certification Date
July 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Appletree Ln
Portland, CT 06480-1072
Zip
06480-1072
Phone Number
860-294-4953
Portland, CT 06480Get directions →

Provider Business Mailing Address Details

Address
5 Progress Dr
Cromwell, CT 06416-1035
City
Cromwell
State
CT
Zip
06416-1035
Phone Number
860-294-4953

License Information

License Number
9329
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Micaela Mellow, LPCA?

The NPI number of Micaela Mellow, LPCA is 1679422364. It was assigned on January 26, 2026 and is currently active in the NPPES registry.

What is the specialty of Micaela Mellow, LPCA?

Micaela Mellow, LPCA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 9329.

Where does Micaela Mellow, LPCA practice?

The practice location is 90 Appletree Ln, Portland, CT 06480-1072. The office can be reached at 860-294-4953 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679422364 directly on the NPPES registry website.

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