Active NPI
Melyssa Zive
- Clinical Social Worker
- Huntington Beach, CA
National Provider Identifier
1245624949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW70594
- Practice address
- 5762 Bolsa Ave
Suite 101
Huntington Beach, CA 92649-1172 - Phone
- (714) 292-2322
- Fax
- (714) 866-4153
- NPI assigned
- Mar 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW70594 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 2123 | CO |
Addresses
Primary practice location
5762 Bolsa Ave
Suite 101
Huntington Beach, CA 92649-1172
Mailing address
5762 Bolsa Ave
Suite 101
Huntington Beach, CA 92649-1172
Phone (714) 292-2322
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW70594 | CA | MD | Clinical Social Worker |
| 2123 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love 2 Learn Therapies Inc | Clinical | Past | 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": "1426809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1245624949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5762 BOLSA AVE",
"address_2": "SUITE 101",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926491172",
"telephone_number": "714-292-2322",
"fax_number": "714-866-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5762 BOLSA AVE",
"address_2": "SUITE 101",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926491172",
"telephone_number": "714-292-2322",
"fax_number": "714-866-4153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIVE",
"first_name": "MELYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-20",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW70594",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "2123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.