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MELISSA SONYA TINES LCSW
NPI 1942840905
Counselor - Mental Health in Pasadena, CA

Active since January 08, 2020Opted out of Medicare · through Jun 19, 2028
107 S FAIR OAKS AVE STE 310, PASADENA, CA 91105(626) 219-0199 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 11, 2026, Jan 16, 2020, Jan 8, 2020 (3 updates tracked since 2020).

About Melissa Sonya Tines Lcsw NPPES

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

MELISSA SONYA TINES LCSW (NPI 1942840905) is an individual mental health provider in Pasadena, California, licensed in California (LCSW122818) and active in the NPI registry since January 2020. She has opted out of Medicare through June 19, 2028.

NPPES Registry Identity

NPI1942840905
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA SONYA TINESCredential: LCSW
Location Address107 S FAIR OAKS AVE STE 310Pasadena, CA 91105-2012
Mailing Address107 S Fair Oaks Ave Ste 310Pasadena, CA 91105-2012 · (213) 910-4242
Phone(626) 219-0199
Sole ProprietorYes
Enumeration DateJanuary 8, 2020
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1942840905 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 CA · LCSW122818
107 S FAIR OAKS AVE STE 310, Pasadena, CA 91105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Sonya Tines Lcsw 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 June 19, 2024 through June 19, 2028.

Opt-Out Effective DateJune 19, 2024
Opt-Out In Effect ThroughJune 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

HER SPACE THERAPY, A MARRIAGE AND FAMILY CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Los Angeles County (626) 681-3283
MEGAN GALLOWAY AMFT
Counselor (Mental Health)
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Los Angeles County (626) 319-2287
SUNYATA ONO LCSW
Social Worker (Clinical)
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Los Angeles County (914) 960-0893
CYLA FISK MA
Marriage & Family Therapist
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Los Angeles County (626) 788-1541
E LYLA JAMES CONNOLLY APCC
Counselor (Mental Health)
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Los Angeles County (626) 681-3283

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 Melissa Tines's NPI number?

The NPI number for Melissa Tines is 1942840905. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Melissa Tines located?

Melissa Tines practices at 107 S Fair Oaks Ave Ste 310, Pasadena, CA 91105. The listed phone number is (626) 219-0199.

What is Melissa Tines's specialty?

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

Is Melissa Tines enrolled in Medicare?

No. Melissa Tines has opted out of Medicare through June 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Melissa Tines was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.