Individual provider Active NPI

Melanie Lynn Fikse

  • Professional Counselor
  • Grass Valley, CA
National Provider Identifier
1164730560
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC3363 Issued in CA
Practice address
150 S Auburn St # B4
Grass Valley, CA 95945-6576
Phone
(415) 490-7510
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC3363 CA Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X CP6425-R NV
Mental Health Counselor 101YM0800X P81186 NY

Addresses

Primary practice location

150 S Auburn St # B4
Grass Valley, CA 95945-6576

Mailing address

11057 Copper Dr
Grass Valley, CA 95945-7453
Phone (415) 490-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260616004842 CA Practitioner - Mental Health Counselor 0547732919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11057 Copper Dr
Grass Valley, CA 95945-7453

535 Mack Ave
Kingsley, MI 49649-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC3363CAMDMental Health Counselor
P81186NYMDMental Health Counselor

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1164730560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11057 COPPER DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457453",
            "telephone_number": "415-490-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S AUBURN ST # B4",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456576",
            "telephone_number": "415-490-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKSE",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC3363",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP6425-R",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P81186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.