Melisa Renae Holdway, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61129227 Issued in WA

Practice address

107 W Lake Street
Suite C
Medical Lake, WA 99022

Phone

(509) 721-0290

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 1, 2025 through Dec 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Melisa Holdway, LMHC, PLLC

  • Mental Health Counselor
  • Medical Lake, WA
  • NPI 1407668783
  NPD Authorized official
• Pioneer Human Services

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1790153682
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1013415223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 JUSTIN AVE",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228878",
            "telephone_number": "509-844-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W LAKE STREET",
            "address_2": "SUITE C",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "99022",
            "telephone_number": "509-721-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Justin Ave",
            "address_purpose": "LOCATION",
            "city": "Medical Lake",
            "state": "WA",
            "postal_code": "990228878",
            "country_code": "US",
            "telephone_number": "509-844-4758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDWAY",
        "first_name": "MELISA",
        "middle_name": "RENAE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61129227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas R Gwinn, MD
• John R Henry, D.O.
• Nathan D Henry, PSYD
• Jacob Scott Hermes, DMD
• Susan Marie Hodges, COTA/L
• Ulista Hoover, M.D.
• David J Hughes
• Serban I Ionescu, MD
• Ja Medical Center PS
• Jeremiah Johnson, BSN

• Mental Health Counselor in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.