Melanie Anne Roque, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61097621 Issued in WA

Practice address

4326 Terrace Dr
Everett, WA 98203-2204

Phone

(206) 307-5866

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1982219929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 TERRACE DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032204",
            "telephone_number": "206-307-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 TERRACE DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032204",
            "telephone_number": "206-307-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61097621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Margarita Romero, MA, LMFTA
• Michelle Leigh Rondeau, LMP
• Anthony J. Roon, MD
• Molly Rooney, MD
• Nancy F Roope, PMHNP-BC, LMSW
• Lily S Ros, BA
• Sadie Rose Rosado
• Adriana Nicole Rosales, MD
• Saundra Rose-Moore, CP60706807
• Jensine Rose, PT, DPT

• Mental Health Counselor in Everett, WA
• Providers in Everett, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.