Melissa Ann House, QMHA-I

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

THW000105866 Issued in OR

Practice address

2625 Highway 101
Florence, OR 97439-9702

Phone

(541) 997-3212

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Western Lane Fire and EMS Authority

  • Early Intervention Provider Agency
  • Florence, OR
  • NPI 1336784495
  NPD
• Western Lane Ambulance District

  • Land Ambulance
  • Florence, OR
  • NPI 1750372553
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1760227003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HIGHWAY 101",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399702",
            "telephone_number": "541-997-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HIGHWAY 101",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399702",
            "telephone_number": "541-997-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "QMHA-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "OR",
            "license": "23-QMHA-I-003712",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "23-QMHA-I-003712",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "105866",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000105866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Karl Holmes, MD
• Brian Glen Holmes, DMD
• Maurice Honeycutt, PH.D., MPA, MS, LMFT
• Teresa L Hooper, RPH
• Christy A Horton, M.D.
• Terry L House, RPH
• Peter W Howison, M.D.
• Jeffrey Hughes, MPAS, P. A.
• Daren Hunt
• Thomas John Hunt, DMD

• Community Health Worker in Florence, OR
• Providers in Florence, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.