Individual provider Active NPI

Melissa Anne Garner-Lee

  • Mental Health Counselor
  • Santa Monica, CA
National Provider Identifier
1255890992
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
111276 Issued in CA
Practice address
3101 Ocean Park Blvd Ste 304
Santa Monica, CA 90405-3022
Phone
(310) 229-5392
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 111276 CA Primary

Addresses

Primary practice location

3101 Ocean Park Blvd Ste 304
Santa Monica, CA 90405-3022

Mailing address

530 Wilshire Blvd Ste 308
Santa Monica, CA 90401-1426
Phone (310) 229-5392

Other practice location 1

5451 Laurel Canyon Blvd Rm 13
Valley Village, CA 91607-2180
Phone (310) 229-5392

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
111276CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1255890992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 308",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011426",
            "telephone_number": "310-229-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD STE 304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053022",
            "telephone_number": "310-229-5392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5451 Laurel Canyon Blvd Rm 13",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916072180",
            "country_code": "US",
            "telephone_number": "310-229-5392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER-LEE",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "111276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.