Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa Jean Banther

Individual provider Marriage & Family Therapist · NPI 1225790694

Melissa Jean Banther is a Marriage and Family Therapist in Bloomfield, Indiana. Qualified in 2021, 5 years ago. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021

Practice location Address checks out

10084 E State Road 54
Bloomfield, IN 47424-6063
Phone: (507) 703-3512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4573 (MN)

Record details

NPI number1225790694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address10084 E State Road 54, Bloomfield, IN 47424-6063

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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