Individual provider Active NPI

Jesus Avina Melendrez

  • Social Worker
  • Seattle, WA
National Provider Identifier
1891422754
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
216 James St
Seattle, WA 98104-5102
Phone
(206) 464-1570
NPI assigned
Aug 2, 2022
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X Primary

Addresses

Primary practice location

216 James St
Seattle, WA 98104-5102

Mailing address

723 SW 10TH St
Renton, WA 98057-5223

Other practice location 1

145 S Worthen St
Wenatchee, WA 98801-3081
Phone (509) 662-6761

Other practice location 2

1706 Springwater Ave
Wenatchee, WA 98801-1453
Phone (509) 668-8015

Other practice location 3

723 SW 10th St
Renton, WA 98057-5223
Phone (206) 461-4880

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

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Emergency Service Center PastSince Aug 25, 2025 Accepting new patients
Downtown Emergency Service Center PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 2

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1891422754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SW 10TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 JAMES ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981045102",
            "telephone_number": "206-464-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 S Worthen St",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013081",
            "country_code": "US",
            "telephone_number": "509-662-6761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Springwater Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988011453",
            "country_code": "US",
            "telephone_number": "509-668-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "723 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980575223",
            "country_code": "US",
            "telephone_number": "206-461-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVINA MELENDREZ",
        "first_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.