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MS. JENNIFER SUE MELLUM
NPI 1710415773
Counselor in Tacoma, WA

Active since June 02, 2017
1305 TACOMA AVE S STE 305, TACOMA, WA 98402(253) 396-5800 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jennifer Sue Mellum NPPES

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

MS. JENNIFER SUE MELLUM (NPI 1710415773) is an individual counselor in Tacoma, Washington, licensed in Washington (CG60730961) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1710415773
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. JENNIFER SUE MELLUM
Location Address1305 TACOMA AVE S STE 305Tacoma, WA 98402-1903
Mailing Address1201 S Proctor StTacoma, WA 98405-2047 · (253) 396-5800
Phone(253) 396-5800
Sole ProprietorNo
Enumeration DateJune 2, 2017
✔ NPI 1710415773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CG60730961
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1305 TACOMA AVE S STE 305, Tacoma, WA 98402
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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.

SOPHIA MERRILL
Social Worker
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
LINZIE LEE SMITH
Technician, Other
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
ISABELLE AMUNDSEN
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
KRYSTA VAN WOERT
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
KELLI BERAME
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
LEATH ALEXANDER DUNFORD
Peer Specialist
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
TIFFANY ORTH
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 279-3978
GLENN ALAN KEELING
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800

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 Jennifer Mellum's NPI number?

The NPI number for Jennifer Mellum is 1710415773. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Jennifer Mellum located?

Jennifer Mellum practices at 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402. The listed phone number is (253) 396-5800.

What is Jennifer Mellum's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Mellum was last updated on June 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.