Melissa Wilson LMFT LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MELISSA WILSON LMFT LLC

Practice address

4374 Kukui Grove St Ste 102
Lihue, HI 96766-2007

Phone

(808) 651-4183

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Melissa Diane Wilson, LMFTNPI 1285900084

Title

Owner/ Provider

Phone

(808) 651-4183

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Diane Wilson, M.A.

  • Marriage & Family Therapist
  • Lihue, HI
  • NPI 1285900084
  NPD Authorized official

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1831814284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877D OMAO RD",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569615",
            "telephone_number": "808-651-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 KUKUI GROVE ST STE 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662007",
            "telephone_number": "808-651-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA WILSON LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "808-651-4183",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285900084",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lani Kinuyo Nagao McKenna, LCSW
• Kiesha McLean
• Kapua K. Medeiros, M.D.
• Remedios Meints
• Brandi Melchor
• Melinda Joyce Menezes, MD
• Mental Health Kokua
• Mentaloha LLC
• Gussie Merritt, PT, DPT
• James Mertens

• Marriage & Family Therapist in Lihue, HI
• Providers in Lihue, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.