MS. MELISSA JESE CZICHAS (MA, LMFT, CPC) – Marriage & Family Therapist, NPI 1538678677
Marriage & Family Therapist
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. MELISSA JESE CZICHAS (MA, LMFT, CPC)
1200 SW 27th St
Renton, WA 980572603
Phone: (800) 287-2680
Type: Location
225 STATE AVE NW
OLYMPIA, WA 98501
Phone: (603) 515-5646
Type: Location
8284 28th Ct NE Ste A
Lacey, WA 985167161
Phone: (360) 789-4837
Fax: (360) 890-4099
Type: Location
830, Phoenix Street Northeast, Olympia, Thurston County, Washington, 98506, United States
OLYMPIA, WA 985064858
Phone: (360) 789-4837
Type: Mailing
711, State Avenue Northeast, Olympia, Thurston County, Washington, 98506, United States
OLYMPIA, WA 985063984
Phone: (360) 943-0780
Fax: (360) 943-0780
Type: Location
8284 28TH CT NE STE A
LACEY, WA 985167161
Phone: (360) 789-4837
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240221004431 | I | Marriage And Family Therapist | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98057)
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