Individual provider Active NPI

Melissa Lani Yaller, LMFT

  • Marriage & Family Therapist
  • Oxnard, CA
National Provider Identifier
1164827291
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113712 Issued in CA
Practice address
1911 Williams Dr.
Oxnard, CA 93036
Phone
(805) 981-4233
NPI assigned
Oct 31, 2014
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 NU
Marriage & Family Therapist 106H00000X 113712 CA Primary

Addresses

Primary practice location

1911 Williams Dr.
Oxnard, CA 93036

Mailing address

530 E. Los Angeles Ave # 115-221
Moorpark, CA 93021
Phone (805) 390-6062

Other identifiers 1

IdentifierTypeStateIssuer
56CCOtherASPIRA

Other names 1

  • Melissa Lani Mineo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113712CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients

Locations

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

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, 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": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1164827291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E. LOS ANGELES AVE # 115-221",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "93021",
            "telephone_number": "805-390-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR.",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-981-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALLER",
        "first_name": "MELISSA",
        "middle_name": "LANI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRA",
            "identifier": "56CC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MINEO",
            "middle_name": "LANI",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.