Active NPI
Melonie Gale, MA, LMFT, LMHC, NCC
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1770575599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 46352
- Practice address
- 3636 4TH Ave
Suite 210
San Diego, CA 92103-4280 - Phone
- (858) 429-8999
- Fax
- (858) 630-4424
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00003656 | WA | |
| Marriage & Family Therapist | 106H00000X | MFC 46352 | CA | Primary |
Addresses
Primary practice location
3636 4TH Ave
Suite 210
San Diego, CA 92103-4280
Mailing address
4440 W Bunker LN
Meridian, ID 83646-3988
Phone (858) 429-8999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00003656 | WA | MD | Mental Health Counselor |
| MFC 46352 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1770575599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 W BUNKER LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836463988",
"telephone_number": "858-429-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 4TH AVE",
"address_2": "SUITE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034280",
"telephone_number": "858-429-8999",
"fax_number": "858-630-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALE",
"first_name": "MELONIE",
"name_prefix": "Ms.",
"credential": "MA, LMFT, LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00003656",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 46352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.