MRS. MELISSA FATIMA MAYNES (NPI# 1962665331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962665331 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA FATIMA MAYNES |
| Other Name | MISS MELISSA FATIMA PUCCIO |
| Credential | M.A. |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Mailing Address |
6623 133rd St E Puyallup WA 98373-6316 |
| Practice Telephone | 2539686065 |
| Mailing Telephone | 2535387303 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60013965 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH60088360 | WA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LF60143370 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184051518 | Melissa Ann Maynes | Student in an Organized Health Care Education/Training Program | 940 Avenue 64, Pasadena, CA 91105-2711 | 2013-09-30 |
| 1518096775 | Melissa C Maynes | Occupational Therapy Assistant | 900 Central, Bayard, NM 88023 | 2007-03-05 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194155 | Anthony Mueller | Marriage & Family Therapist | 6201 Pacific Ave Ste B12, Tacoma, WA 98408-7423 | 2020-01-31 |
| 1205477296 | Liberating Jasper LLC | Marriage & Family Therapist | 2133 Martin Luther King Jr Way, Tacoma, WA 98405-3839 | 2019-10-01 |
| 1093376766 | Nicole Denise Pullen-umhra | Marriage & Family Therapist | 4301 S Pine St Ste 30-08, Tacoma, WA 98409-9123 | 2019-06-24 |
| 1083139281 | Kayla Moore | Marriage & Family Therapist | 4141 6th Ave Ste C, Tacoma, WA 98406-4034 | 2017-08-08 |
| 1891162061 | Kelley Kohlwes | Marriage & Family Therapist | 1102 A St Ste 426, Tacoma, WA 98402-5011 | 2015-08-24 |
| 1063840791 | Savi Pllc | Marriage & Family Therapist | 621 Pacific Ave Ste 300, Tacoma, WA 98402-4611 | 2013-10-15 |
| 1912204223 | Renee Marie Johnson | Marriage & Family Therapist | 4324 A St, Tacoma, WA 98418-7722 | 2011-02-23 |
| 1326352436 | Alyssa Diane Hagmann | Marriage & Family Therapist | 2205 N 30th St Ste A, Tacoma, WA 98403-3320 | 2010-07-30 |
| 1083937379 | Toby Paul Estler | Marriage & Family Therapist | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2010-03-01 |
| 1124205364 | Stephanie L Dann | Marriage & Family Therapist | 1944 Pacific Ave Ste 309, Tacoma, WA 98402-3121 | 2008-01-30 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.