Individual provider Active NPI

Melanie Liana Denboer, LMFT

  • Marriage & Family Therapist
  • Redmond, WA
National Provider Identifier
1235170630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002376 Issued in WA
Practice address
7981 168TH Ave NE Ste 208
Redmond, WA 98052-0911
Phone
(425) 577-3828
Fax
(425) 883-9707
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00002376 WA Primary

Addresses

Primary practice location

7981 168TH Ave NE Ste 208
Redmond, WA 98052-0911

Mailing address

PO Box 1226
North Bend, WA 98045-1226
Phone (425) 577-3828

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
LF00002376WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Counseling and Consulting PLLC Current Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melaniedenboer@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235170630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980451226",
            "telephone_number": "425-577-3828",
            "fax_number": "425-883-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE STE 208",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980520911",
            "telephone_number": "425-577-3828",
            "fax_number": "425-883-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENBOER",
        "first_name": "MELANIE",
        "middle_name": "LIANA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.