Individual provider Active NPI

Melinda Lou Talbott, LMFT

  • Marriage & Family Therapist
  • Astoria, OR
National Provider Identifier
1548688740
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8637289-3904 Issued in UT
Practice address
2120 Exchange St Ste 301
Astoria, OR 97103-3364
Phone
(503) 325-0241
Fax
(503) 325-2036
NPI assigned
Apr 3, 2014
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 8637289-3904 UT Primary

Addresses

Primary practice location

2120 Exchange St Ste 301
Astoria, OR 97103-3364

Mailing address

65 N Highway 101 Ste 204
Warrenton, OR 97146-9371
Phone (503) 325-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240105002351 OR Practitioner - Marriage and Family Therapist 3375994197 Reassigns benefits to 1 organization
I20260420000868 WA Practitioner - Marriage and Family Therapist 3375994197 Practice locations: Ilwaco, WA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 300TH PL
Ocean Park, WA 98640-5070

227 Howerton Way SE
Suite 4
Ilwaco, WA 98624-9089
Phone (971) 500-8714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8637289-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clatsop Behavioral Healthcare CurrentSince Dec 18, 2023 Accepting new patients

Locations

115 W Bond St
Astoria, OR 97103

2158 Exchange St
Ste 301
Astoria, OR 97103

65 N Highway 101
Ste 204
Warrenton, OR 97146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1548688740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N HIGHWAY 101 STE 204",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469371",
            "telephone_number": "503-325-0241",
            "fax_number": "503-861-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 301",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033364",
            "telephone_number": "503-325-0241",
            "fax_number": "503-325-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOTT",
        "first_name": "MELINDA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8637289-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.