MRS. MISAO EMILY MAEYAMA MA, LPCC
NPI 1215353362
Counselor - Mental Health in Modesto, CA

Q: What is Misao Maeyama's NPI number?

The NPI number for Misao Maeyama is 1215353362. It was assigned to this individual provider in the NPPES registry on March 13, 2014.

Q: What is Misao Maeyama's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misao Maeyama was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 13, 2014PECOS Enrolled

1001 NEEDHAM ST, MODESTO, CA 95354(209) 569-0373 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2023, Jun 16, 2016, Mar 2, 2016 (3 updates tracked since 2016).

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About Mrs. Misao Emily Maeyama Ma, Lpcc NPPES

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

MRS. MISAO EMILY MAEYAMA MA, LPCC (NPI 1215353362) is an individual mental health provider in Modesto, California, licensed in California (6282) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215353362

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. MISAO EMILY MAEYAMACredential: MA, LPCC

Location Address1001 NEEDHAM STModesto, CA 95354-0730

Mailing Address1001 Needham StModesto, CA 95354-0730 · (209) 569-0373

Phone(209) 569-0373

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 13, 2014

Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1215353362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 6282

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

1001 NEEDHAM ST, Modesto, CA 95354

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Misao Emily Maeyama Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446725352

PECOS Enrollment IDI20260408002851

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA SEARS

Counselor (Mental Health)