Delanie R Meisner

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

61293867 Issued in WA

Practice address

27023 164TH Ave SE
Covington, WA 98042-8241

Phone

(253) 639-7146

NPI assigned

Apr 24, 2022

Last updated

Apr 24, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindsource Center, LLC

  • Community/Behavioral Health Agency
  • Covington, WA
  • NPI 1477978849
  NPD (past)

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1487398681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26955 140TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980428053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27023 164TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428241",
            "telephone_number": "253-639-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISNER",
        "first_name": "DELANIE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "61293867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "delaniem@mindsourcecenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27023 164th Ave SE",
            "city": "Covington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980428241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney A. McCliment, RD
• Kelly A. McGinnis, MD
• Alexandria Michelle McKay, DO
• Medical Imaging Northwest
• Uday Kantilal Mehta, M.D.
• Karen Marie Merrill, CBT
• Gail Ellen Messler, M. D.
• Michelle Mong Ma LMFT LLC
• Mark Robert Mikols, D.O.
• Christina Rios Millan

• Behavior Technician in Covington, WA
• Providers in Covington, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2022; 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.