Individual provider Active NPI

Melissa Sonya Tines, LCSW

  • Mental Health Counselor
  • Pasadena, CA
National Provider Identifier
1942840905
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW122818 Issued in CA
Practice address
107 S Fair Oaks Ave Ste 310
Pasadena, CA 91105-2012
Phone
(626) 219-0199
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW122818 CA Primary

Addresses

Primary practice location

107 S Fair Oaks Ave Ste 310
Pasadena, CA 91105-2012

Mailing address

107 S Fair Oaks Ave Ste 310
Pasadena, CA 91105-2012
Phone (213) 910-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 19, 2024 through Jun 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW122818CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Institute, Inc. PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1942840905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052012",
            "telephone_number": "213-910-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052012",
            "telephone_number": "626-219-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINES",
        "first_name": "MELISSA",
        "middle_name": "SONYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW122818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.