Individual provider Active NPI

Merissa Donta Mechela Tryven Medling

  • Mental Health Counselor
  • Mountain View, HI
National Provider Identifier
1003485475
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CG70011509 Issued in WA
Practice address
11-3036 Plumeria St
Mountain View, HI 96770
Phone
(425) 354-8476
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CG70011509 WA Primary

Addresses

Primary practice location

11-3036 Plumeria St
Mountain View, HI 96770

Mailing address

PO Box 7414
Hilo, HI 96720-8944

Other names 1

  • Merissa Donta Mechela Tryven Hull Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG70011509WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yaay Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1003485475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7414",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-3036 PLUMERIA ST",
            "city": "MOUNTAIN VIEW",
            "state": "HI",
            "postal_code": "96770",
            "telephone_number": "425-354-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLING",
        "first_name": "MERISSA",
        "middle_name": "DONTA MECHELA TRYVEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG70011509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERISSA",
            "last_name": "HULL",
            "middle_name": "DONTA MECHELA TRYVEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain View, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.