Melissa Diane Wilson, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT-559 Issued in HI

Practice address

4441 Kale PL Apt 3
Lihue, HI 96766

Phone

(808) 651-4183

NPI assigned

Mar 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Melissa Wilson LMFT LLC

  • Marriage & Family Therapist
  • Lihue, HI
  • NPI 1831814284
  NPD Authorized official

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1285900084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 KALE PL APT 3",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669168",
            "telephone_number": "808-651-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 KALE PL APT 3",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "808-651-4183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "General Delivery",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "967499999",
            "country_code": "US",
            "telephone_number": "808-769-0819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilcox Memorial Hospital Outpatient Pharmacy
• James Clinton Wilkes III
• Tynishia Williams
• Charissa Napua O Kalani Wilson, RBT
• Christopher Michael Wilson, RBT
• Sandy Wilson
• John Winnes, MSW
• Stacey Catherine Wisiorowski, LCSW
• Women in Need
• Women in Need

• Marriage & Family Therapist in Lihue, HI
• Providers in Lihue, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.