Individual provider Active NPI

Melinda Williamson

  • Mental Health Counselor
  • Lynden, WA
National Provider Identifier
1306429733
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61133637 Issued in WA
Practice address
506 Grover St Ste 112
Lynden, WA 98264-1960
Phone
(360) 383-8682
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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 61133637 WA Primary

Addresses

Primary practice location

506 Grover St Ste 112
Lynden, WA 98264-1960

Mailing address

3046 Verity CT
Alpine, CA 91901-2321
Phone (360) 509-4809

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hopethrivecounseling.com/contact/

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
61133637WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Counseling LLC Mental Health CurrentSince May 9, 2021 Accepting new patients

Locations

506 Grover St
Ste 112
Lynden, WA 98264
Phone (360) 383-8682

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1306429733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 VERITY CT",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012321",
            "telephone_number": "360-509-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GROVER ST STE 112",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641960",
            "telephone_number": "360-383-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MELINDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61133637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hopethrivecounseling.com/contact/",
            "affiliation": "N",
            "address_1": "506 Grover St Ste 112",
            "city": "Lynden",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982641960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.