Individual provider Active NPI

Melinda Ellen Cook, LICSW, LCSW

  • Clinical Social Worker
  • Pasco, WA
National Provider Identifier
1013639046
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWI.LW.61691538 Issued in WA
Practice address
9111 Ryeland Dr
Pasco, WA 99301-9167
Phone
(208) 790-5970
Fax
(509) 542-7695
NPI assigned
Sep 15, 2022
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8911141 ID
Clinical Social Worker 1041C0700X SWI.LW.61691538 WA Primary

Addresses

Primary practice location

9111 Ryeland Dr
Pasco, WA 99301-9167

Mailing address

9111 Ryeland Dr
Pasco, WA 99301-9167
Phone (208) 790-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103003361 OR Practitioner - Other (Non-Physician) 4082104617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

550 W Sperry St
Heppner, OR 97836-2060

PO Box
Suite 469
Heppner, OR 97836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42658IDMDMental Health Counselor
8911141IDMDMental Health Counselor
61660674WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Solutions CurrentSince Aug 22, 2025 Accepting new patients
Community Counseling Solutions Mental Health CurrentSince Aug 22, 2025 Accepting new patients
Grant County Current Accepting new patients
Rooted Counseling and Wellness Wa PLLC Past Accepting new patients

Locations

528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1013639046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 RYELAND DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019167",
            "telephone_number": "208-790-5970",
            "fax_number": "209-542-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 RYELAND DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019167",
            "telephone_number": "208-790-5970",
            "fax_number": "509-542-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MELINDA",
        "middle_name": "ELLEN",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8911141",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61691538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.