MRS. MISAO EMILY MAEYAMA MA, LPCC
NPI 1215353362
Counselor - Mental Health in Modesto, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Misao Emily Maeyama Ma, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Misao Maeyama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Modesto, CA 95354
- Reassigned Medicare billing, California enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 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.
Where is Misao Maeyama located?
Misao Maeyama practices at 1001 Needham St, Modesto, CA 95354. The listed phone number is (209) 569-0373.
What is Misao Maeyama's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Misao Maeyama enrolled in Medicare?
Yes. Misao Maeyama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Misao Maeyama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misao Maeyama reassigns Medicare benefits to County Of Stanislaus (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Misao Maeyama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Misao Maeyama was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mrs. Misao Emily Maeyama, MA, LPCC · NPI 1215353362
Mental Health provider in Modesto, California. Individual provider, active in the CMS NPPES registry since March 13, 2014.
## Identity
- **NPI:** 1215353362 (Entity type: Individual)
- **Enumerated:** March 13, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6282 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 NEEDHAM ST, Modesto, CA 95354-0730
- **Phone:** (209) 569-0373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Stanislaus (NPI 1902765993, Modesto, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215353362) · Data from the CMS NPPES public registry.