Individual provider Active NPI

Melissa Yeary, LPC

  • Mental Health Counselor
  • Milwaukie, OR
National Provider Identifier
1629509104
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4446 Issued in OR
Practice address
10883 SE Main St Ste 204
Milwaukie, OR 97222-7641
Phone
(503) 451-3732
NPI assigned
Mar 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 C4446 OR Primary

Addresses

Primary practice location

10883 SE Main St Ste 204
Milwaukie, OR 97222-7641

Mailing address

10883 SE Main St Ste 204
Milwaukie, OR 97222-7641
Phone (503) 451-3732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C4446ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Yeary LPC, LLC Past Accepting new patients

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1629509104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10883 SE MAIN ST STE 204",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227641",
            "telephone_number": "503-451-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10883 SE MAIN ST STE 204",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227641",
            "telephone_number": "503-451-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARY",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.