Melissa Linda Kinzner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208

Phone

(360) 819-3120

NPI assigned

Nov 2, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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.

• Catholic Community Services WW

  • Community/Behavioral Health Agency
  • Olympia, WA
  • NPI 1568785293
  NPD

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1396213815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CHERRYWOOD DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022667",
            "telephone_number": "360-473-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BLACK LAKE BLVD SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985027208",
            "telephone_number": "360-819-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZNER",
        "first_name": "MELISSA",
        "middle_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M King, LICSW, LCSW
• Tiffany Renee King
• Valere Rose King
• Sandra Kay Kinnunen, BA
• Nicole Anne Kinread-Sinclair
• Victoria Kipp
• Kirby Healthcare, LLC
• Rindi Rachelle Kirby-Dodge
• Alexis Marie Kirilovets, LPN
• Arthur Kirk

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.