MELISA RENAE HOLDWAY LMHC
NPI 1013415223
Counselor - Mental Health in Medical Lake, WA

Active since January 23, 2018Opted out of Medicare · through Dec 1, 2027
107 W LAKE STREET, SUITE C, MEDICAL LAKE, WA 99022(509) 721-0290 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melisa Renae Holdway Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISA RENAE HOLDWAY LMHC (NPI 1013415223) is an individual mental health provider in Medical Lake, Washington, licensed in Washington (LH61129227) and active in the NPI registry since January 2018. She has opted out of Medicare through December 1, 2027 and maintains a secondary practice location in Medical Lake.

NPPES Registry Identity

NPI1013415223
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISA RENAE HOLDWAYCredential: LMHC
Location Address107 W LAKE STREET, SUITE CMedical Lake, WA 99022
Mailing Address807 Justin AveMedical Lake, WA 99022-8878 · (509) 844-4758
Sole ProprietorNo
Enumeration DateJanuary 23, 2018
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1013415223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH61129227
107 W LAKE STREET, Medical Lake, WA 99022

Secondary Practice Location 1

Location 1807 Justin AveMedical Lake, WA 99022-8878 · Phone (509) 844-4758

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Melisa Renae Holdway Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2025 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2025
Opt-Out In Effect ThroughDecember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melisa Holdway's NPI number?

The NPI number for Melisa Holdway is 1013415223. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Melisa Holdway located?

Melisa Holdway practices at 107 W Lake Street Suite C, Medical Lake, WA 99022. The listed phone number is (509) 721-0290.

What is Melisa Holdway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Melisa Holdway enrolled in Medicare?

No. Melisa Holdway has opted out of Medicare through December 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Melisa Holdway accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Melisa Holdway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melisa Holdway was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.