Active NPI
Melinda R Timmons, L.M.F.T. M.S.
- Marriage & Family Therapist
- MC Lean, VA
National Provider Identifier
1356678809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001434
- Practice address
- 1487 Chain Bridge Rd
MC Lean, VA 22101-5723 - Phone
- (808) 781-3586
- NPI assigned
- Nov 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001434 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 255 | HI |
Addresses
Primary practice location
1487 Chain Bridge Rd
MC Lean, VA 22101-5723
Mailing address
1520 N Randolph St
Arlington, VA 22207-3023
Phone (808) 781-3586
Other practice location 1
1319 Kaeleku St
Honolulu, HI 96825-3003
Phone (808) 358-3775
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 |
|---|---|---|---|
| 255 | HI | MD | Marriage & Family Therapist |
| 0717001434 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1356678809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 N RANDOLPH ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222073023",
"telephone_number": "808-781-3586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1487 CHAIN BRIDGE RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015723",
"telephone_number": "808-781-3586"
}
],
"practiceLocations": [
{
"address_1": "1319 Kaeleku St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968253003",
"country_code": "US",
"telephone_number": "808-358-3775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMMONS",
"first_name": "MELINDA",
"middle_name": "R",
"credential": "L.M.F.T. M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001434",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.