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

NPI Status: Active since January 08, 2020

Contact Information

107 S FAIR OAKS AVE STE 310
PASADENA, CA
ZIP 91105
Phone: (626) 219-0199

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About MELISSA TINES

This page provides the complete NPI Profile along with additional information for Melissa Tines, a provider established in Pasadena, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1942840905 assigned on January 2020. The practitioner's primary taxonomy code is 101YM0800X with license number LCSW122818 (CA). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1942840905
Provider Name
MELISSA SONYA TINES LCSW
Gender
Female
Entity Type
Individual
Location Address
107 S FAIR OAKS AVE STE 310 PASADENA, CA 91105
Location Phone
(626) 219-0199
Mailing Address
107 S FAIR OAKS AVE STE 310 PASADENA, CA 91105
Mailing Phone
(213) 910-4242
Is Sole Proprietor?
Yes
Enumeration Date
01-08-2020
Last Update Date
05-11-2026
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A mental health counselor like Melissa Tines provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Melissa Tines opted out of Medicare effective on 06-19-2024 until 06-19-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LCSW122818
License State
CA

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 06-19-2024

  • Opt-Out End Date: 06-19-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942840905, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 6 + 4 + 0 + 9 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1942840905.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Marriage & Family Therapist
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Social Worker (Clinical)
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Clinic/Center (Mental Health (Including Community Mental Health Center))
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Counselor (Mental Health)
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105
Counselor (Mental Health)
107 S FAIR OAKS AVE STE 310
PASADENA, CA 91105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942840905, enumerated as an "individual" on January 08, 2020.

The provider is located at 107 S FAIR OAKS AVE STE 310 PASADENA, CA 91105 and the phone number is (626) 219-0199.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.