Individual provider Active NPI

Melissa Anne Yang, SUDP, LMFTA, LMHC

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1124310610
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61485988 Issued in WA
Practice address
1011 E Main
Puyallup, WA 98372-6779
Phone
(815) 715-5201
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60277305 WA
Marriage & Family Therapist 106H00000X MG61304540 WA
Mental Health Counselor 101YM0800X LH61485988 WA Primary

Addresses

Primary practice location

1011 E Main
Puyallup, WA 98372-6779

Mailing address

17125 Kinnikinnick CT SE
Yelm, WA 98597-9729
Phone (815) 712-5201

Other practice location 1

17125 Kinnikinnick Ct SE
Yelm, WA 98597-9729
Phone (815) 712-5201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.yang@emeraldcounselingpllc.org Direct

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
CP60277305WAMDAddiction (Substance Use Disorder) Counselor
LH61485988WAMDMental Health Counselor
MG61304540WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Counseling PLLC CurrentSince Dec 28, 2025 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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1124310610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17125 KINNIKINNICK CT SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979729",
            "telephone_number": "815-712-5201",
            "fax_number": "253-753-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726779",
            "telephone_number": "815-715-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17125 Kinnikinnick Ct SE",
            "address_purpose": "LOCATION",
            "city": "Yelm",
            "state": "WA",
            "postal_code": "985979729",
            "country_code": "US",
            "telephone_number": "815-712-5201",
            "fax_number": "253-753-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "SUDP, LMFTA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60277305",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61304540",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61485988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.yang@emeraldcounselingpllc.org",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17125 Kinnikinnick Ct SE",
            "city": "Yelm",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985979729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.