Individual provider Active NPI

Melissa Caldwell Mason, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1932796331
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61133584 Issued in WA
Practice address
13401 NE Bel Red Rd Ste A8
Bellevue, WA 98005-2322
Phone
(206) 395-5170
Fax
(866) 347-8131
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61133584 WA Primary

Addresses

Primary practice location

13401 NE Bel Red Rd Ste A8
Bellevue, WA 98005-2322

Mailing address

13401 NE Bel Red Rd Ste A8
Bellevue, WA 98005-2322
Phone (206) 395-5170

Other practice location 1

15811 Ambaum Blvd SW # 110th
Burien, WA 98166-3066
Phone (828) 273-6056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304000431 WA Practitioner - Nurse Practitioner 2567878283 Reassigns benefits to 1 organization
Practice locations: Bellevue, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Services for Wellbeing, Inc.Group PAC ID 2163641598, 29 clinicians

Practice addresses (Care Compare)

13401 NE Bel Red Rd
Suite A8
Bellevue, WA 98005-2322
Phone (206) 395-5170

15811 Ambaum Blvd SW
Suite 110
Burien, WA 98166-3071
Phone (206) 242-8211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61133584WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services for Wellbeing, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Modern Mind & Wellness Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients

Locations

15811 Ambaum Blvd SW
Ste 110
Burien, WA 98166
Phone (206) 242-8211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1932796331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 NE BEL RED RD STE A8",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052322",
            "telephone_number": "206-395-5170",
            "fax_number": "866-347-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 NE BEL RED RD STE A8",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052322",
            "telephone_number": "206-395-5170",
            "fax_number": "866-347-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15811 Ambaum Blvd SW # 110th",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663066",
            "country_code": "US",
            "telephone_number": "828-273-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "MELISSA",
        "middle_name": "CALDWELL",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61133584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.